Florescenda, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FLORESCENDA, LLC

Practice address

815 Pine St
Sandpoint, ID 83864-1828

Phone

(208) 352-2242

NPI assigned

Apr 22, 2016

Organization subpart

No

Name

Kimberly Jean Mlinarik, LCPC, LMHC, MS

Title

Therapist

Phone

(208) 352-2242

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2016.

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1134573447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1989",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640906",
            "telephone_number": "208-352-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PINE ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641828",
            "telephone_number": "208-352-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORESCENDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "MLINARIK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "208-352-2242",
        "authorized_official_credential": "LCPC, LMHC, MS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.