Active NPI
Flourish Nevada Counseling and Wellness PLLC
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1508550666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kaitlind Johnson, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043856198 | Medicaid | NV |
Other names 1
- Flourish Nevada
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Reno, NV
- NPI 1043856198
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.