Organization Active NPI

Flourish Counseling Services PLLC

  • Marriage & Family Therapist
  • Provo, UT
National Provider Identifier
1518407964
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4859896-3902 Issued in UT
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.