Organization Active NPI

Moonflower Therapy, LLC

  • Adult Mental Health Clinic/Center
  • Arlington, MA
National Provider Identifier
1144993676
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MOONFLOWER THERAPY, LLC
Practice address
491 Massachusetts Ave Ste 2
Arlington, MA 02474-5114
Phone
(978) 307-7004
Fax
(978) 288-0232
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Mrs. Mallory April Horgan, LMHCNPI 1104264340
Title
Owner
Phone
(978) 307-7004

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

491 Massachusetts Ave Ste 2
Arlington, MA 02474-5114

Mailing address

PO Box 216
Westminster, MA 01473-0216
Phone (978) 307-7004

National Provider Directory

National Provider Directory

Locations

491 Massachusetts Ave
Ste 2
Arlington, MA 02474
Phone (978) 307-7004

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": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1144993676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014730216",
            "telephone_number": "978-307-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 MASSACHUSETTS AVE STE 2",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024745114",
            "telephone_number": "978-307-7004",
            "fax_number": "978-288-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONFLOWER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "HORGAN",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-307-7004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.