Organization Active NPI

Flourish Mental Health

  • Clinical Social Worker
  • Twin Falls, ID
National Provider Identifier
1033891841
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FLOURISH MENTAL HEALTH
Practice address
1772 Maplewood Dr
Twin Falls, ID 83301-4927
Phone
(208) 731-5747
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristina Loder, LCSW
Title
Clinician
Phone
(208) 731-5747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1772 Maplewood Dr
Twin Falls, ID 83301-4927

Mailing address

1772 Maplewood Dr
Twin Falls, ID 83301-4927

National Provider Directory

National Provider Directory

Locations

718 Shoshone St E
Twin Falls, ID 83301
Phone (208) 829-9441

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDCHDD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1033891841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 MAPLEWOOD DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 MAPLEWOOD DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014927",
            "telephone_number": "208-731-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "LODER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "208-731-5747",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.