Individual provider Active NPI

Margaret Colmore Flynn, MED., LPC-MHSP

  • Professional Counselor
  • Mount Juliet, TN
National Provider Identifier
1588816375
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3013 Issued in TN
Practice address
547 N Mount Juliet Rd
Suite 100
Mount Juliet, TN 37122-8318
Phone
(615) 419-1262
NPI assigned
Oct 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X 3013 TN Primary

Addresses

Primary practice location

547 N Mount Juliet Rd
Suite 100
Mount Juliet, TN 37122-8318

Mailing address

547 N Mount Juliet Rd
Suite 100
Mount Juliet, TN 37122-8318
Phone (615) 419-1262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Master of Education

State licenses

LicenseStateTypeSpecialty
3013TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1588816375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 N MOUNT JULIET RD",
            "address_2": "SUITE 100",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228318",
            "telephone_number": "615-419-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 N MOUNT JULIET RD",
            "address_2": "SUITE 100",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228318",
            "telephone_number": "615-419-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MARGARET",
        "middle_name": "COLMORE",
        "name_prefix": "Ms.",
        "credential": "MED., LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.