Organization Active NPI

Flourish Nevada Counseling and Wellness PLLC

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1508550666
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FLOURISH NEVADA COUNSELING AND WELLNESS PLLC
Practice address
458 Court St Ste 106
Reno, NV 89501-1709
Phone
(775) 453-6841
NPI assigned
Jun 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Mrs. Kaitlind Johnson, LCSWNPI 1043856198
Title
Managing Member
Phone
(775) 453-6841

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

458 Court St Ste 106
Reno, NV 89501-1709

Mailing address

3495 Lakeside Dr # 1231
Reno, NV 89509-4841
Phone (775) 453-6841

Other identifiers 1

IdentifierTypeStateIssuer
1043856198MedicaidNV

Other names 1

  • Flourish Nevada Doing business as

National Provider Directory

National Provider Directory

Locations

458 Court St
Ste 106
Reno, NV 89501
Phone (775) 453-6841

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": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1508550666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 LAKESIDE DR # 1231",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094841",
            "telephone_number": "775-453-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 COURT ST STE 106",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011709",
            "telephone_number": "775-453-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH NEVADA COUNSELING AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAITLIND",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "775-453-6841",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043856198",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flourish Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.