Active NPI
Flowers Haven Counseling Services, PLLC
- Clinical Social Worker
- Grayling, MI
National Provider Identifier
1134834161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FLOWERS HAVEN COUNSELING SERVICES, PLLC
- Practice address
- 5625 W M 72 Hwy
Grayling, MI 49738-1226 - Phone
- (989) 889-6609
- NPI assigned
- Jan 13, 2023
- 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
- Elizabeth Nack
- Title
- Administrative Manager
- Phone
- (989) 915-2009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5625 W M 72 Hwy
Grayling, MI 49738-1226
Mailing address
300 Spruce St
Grayling, MI 49738-1622
Phone (989) 915-2009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230705001509 | MI | Part B Supplier - Clinic/Group Practice | 3072972363 |
Receives reassigned benefits from 1 practitioner Practice locations: Grayling, MI |
National Provider Directory
National Provider DirectoryLocations
5625 W M 72 Hwy
Grayling, MI 49738
Phone (989) 889-6609
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673568000000",
"number": "1134834161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SPRUCE ST",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497381622",
"telephone_number": "989-915-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5625 W M 72 HWY",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497381226",
"telephone_number": "989-889-6609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOWERS HAVEN COUNSELING SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-13",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A",
"authorized_official_last_name": "NACK",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
"authorized_official_telephone_number": "989-915-2009"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.