Organization Active NPI

Flourish Counseling LLC

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1215344866
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19454 Issued in MN
Legal business name
FLOURISH COUNSELING LLC
Practice address
5315 Lyndale Ave S
Minneapolis, MN 55419-1270
Phone
(612) 401-8865
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Mary Catherine Byrne Zinkel, LICSW
Title
Therapist
Phone
(612) 401-8865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 19454 MN Primary

Addresses

Primary practice location

5315 Lyndale Ave S
Minneapolis, MN 55419-1270

Mailing address

5215 Beard Ave S
Minneapolis, MN 55410-2117
Phone (612) 401-8865

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1215344866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 BEARD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102117",
            "telephone_number": "612-401-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191270",
            "telephone_number": "612-401-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "BYRNE ZINKEL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "612-401-8865",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.