Organization Active NPI

Flagship Counseling Inc

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1255842969
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119812 Issued in MA
Legal business name
FLAGSHIP COUNSELING INC
Practice address
5 Aldrin Rd Ste 2
Plymouth, MA 02360-4814
Phone
(774) 404-7859
Fax
(774) 773-9045
NPI assigned
Oct 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Keri Anne Reardon
Title
President/Owner
Phone
(774) 404-7859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 119812 MA Primary

Addresses

Primary practice location

5 Aldrin Rd Ste 2
Plymouth, MA 02360-4814

Mailing address

5 Aldrin Rd Ste 2
Plymouth, MA 02360-4814
Phone (774) 404-7859

National Provider Directory

National Provider Directory

Locations

5 Aldrin Rd
Ste 2
Plymouth, MA 02360
Phone (774) 404-7859

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1255842969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALDRIN RD STE 2",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604814",
            "telephone_number": "774-404-7859",
            "fax_number": "774-773-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALDRIN RD STE 2",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604814",
            "telephone_number": "774-404-7859",
            "fax_number": "774-773-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSHIP COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "774-404-7859"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.