Organization Active NPI

Grow With Your Flow Counseling, Inc.

  • Clinical Social Worker
  • Brandon, FL
National Provider Identifier
1275101560
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GROW WITH YOUR FLOW COUNSELING, INC.
Practice address
220 W Brandon Blvd Ste 203
Brandon, FL 33511-5100
Phone
(813) 464-1007
Fax
(813) 381-3909
NPI assigned
Jun 14, 2021
Last updated
Dec 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Maria Reardon, LCSWNPI 1881157162
Title
Therapist
Phone
(813) 464-1007

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

220 W Brandon Blvd Ste 203
Brandon, FL 33511-5100

Mailing address

220 W Brandon Blvd Ste 203
Brandon, FL 33511-5100
Phone (813) 464-1007

Other identifiers 1

IdentifierTypeStateIssuer
1110795-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210830001283 FL Part B Supplier - Clinic/Group Practice 2062817026 Receives reassigned benefits from 1 practitioner
Practice locations: Brandon, FL

National Provider Directory

National Provider Directory

Locations

1219 Millennium Pkwy
Ste 110
Brandon, FL 33511
Phone (813) 464-1007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1275101560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W BRANDON BLVD STE 203",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115100",
            "telephone_number": "813-464-1007",
            "fax_number": "813-381-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W BRANDON BLVD STE 203",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115100",
            "telephone_number": "813-464-1007",
            "fax_number": "813-381-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW WITH YOUR FLOW COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "813-464-1007",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110795-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.