Active NPI
Flourish Counseling and Wellness Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- FLOURISH COUNSELING AND WELLNESS CENTER
- Practice address
- 8401 NE Halsey St Ste 107
Portland, OR 97220-5670 - Phone
- (971) 401-7119
- NPI assigned
- Sep 18, 2020
- Last updated
- Jan 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rachael Alexis Jackson, MSW, LCSW
- Title
- Therapist/Owner
- Phone
- (503) 998-3584
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
8401 NE Halsey St Ste 107
Portland, OR 97220-5670
Mailing address
8401 NE Halsey St Ste 107
Portland, OR 97220-5670
Phone (503) 998-3584
Other names 1
- Flourish Counseling and Wellness
National Provider Directory
National Provider DirectoryLocations
7640 NE Airport Way
Unit 55701
Portland, OR 97238
8401 NE Halsey St
Ste 107
Portland, OR 97220
Phone (503) 998-3584
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Portland, OR
- NPI 1285992628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1023624780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 NE HALSEY ST STE 107",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205670",
"telephone_number": "503-998-3584",
"fax_number": "503-974-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 NE HALSEY ST STE 107",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205670",
"telephone_number": "971-401-7119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOURISH COUNSELING AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "RACHAEL",
"authorized_official_middle_name": "ALEXIS",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "503-998-3584",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Flourish Counseling and Wellness",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Flourish Counseling and Wellness",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.