Organization Active NPI

Flowers Haven Counseling Services, PLLC

  • Clinical Social Worker
  • Grayling, MI
National Provider Identifier
1134834161
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jan 13, 2023

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20230705001509 MI Part B Supplier - Clinic/Group Practice 3072972363 Receives reassigned benefits from 1 practitioner
Practice locations: Grayling, MI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.