Active NPI
Flourish Counseling Services PLLC
- Marriage & Family Therapist
- Provo, UT
National Provider Identifier
1518407964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4859896-3902
- Legal business name
- FLOURISH COUNSELING SERVICES PLLC
- Practice address
- 91 W 200 S
Provo, UT 84601-4443 - Phone
- (801) 400-2569
- NPI assigned
- Mar 5, 2017
- Last updated
- Mar 5, 2017
- 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
- Lisa Tensmeyer Hansen, LMFT
- Title
- Clinical Director
- Phone
- (801) 400-2569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4859896-3902 | UT | Primary |
Addresses
Primary practice location
91 W 200 S
Provo, UT 84601-4443
Mailing address
1031 S 1130 W
Payson, UT 84651-9603
Phone (801) 400-2569
National Provider Directory
National Provider DirectoryLocations
91 W 200 S
Provo, UT 84601
Phone (385) 448-0235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488672000000",
"number": "1518407964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 S 1130 W",
"city": "PAYSON",
"state": "UT",
"postal_code": "846519603",
"telephone_number": "801-400-2569",
"fax_number": "801-465-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 W 200 S",
"city": "PROVO",
"state": "UT",
"postal_code": "846014443",
"telephone_number": "801-400-2569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOURISH COUNSELING SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-05",
"last_updated": "2017-03-05",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "TENSMEYER",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "801-400-2569",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "4859896-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.