NPIMap

Organization Active NPI

Flourish: a Space for Dimensional Healing

  • Acupuncturist
  • Vancouver, WA
National Provider Identifier
1619141173
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC2077 Issued in WA
Legal business name
FLOURISH: A SPACE FOR DIMENSIONAL HEALING
Practice address
300 E 24TH St.
Vancouver, WA 98663
Phone
(360) 798-7625
Fax
(360) 529-0691
NPI assigned
Apr 16, 2008
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Ms. Susan Maureen McCarthy, LAC, LLCNPI 1013965169
Title
Acupuncturist/Owner
Phone
(360) 798-7625

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC2077 WA Primary

Addresses

Primary practice location

300 E 24TH St.
Vancouver, WA 98663

Mailing address

300 E 24TH St.
Vancouver, WA 98663
Phone (360) 798-7625

Other names 1

  • Susan McCarthy LAC, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

200 E 25th St
Vancouver, WA 98663
Phone (360) 694-3803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1619141173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 24TH ST.",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98663",
            "telephone_number": "360-798-7625",
            "fax_number": "360-529-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 24TH ST.",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98663",
            "telephone_number": "360-798-7625",
            "fax_number": "360-529-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH: A SPACE FOR DIMENSIONAL HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "ACUPUNCTURIST/OWNER",
        "authorized_official_telephone_number": "360-798-7625",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC, LLC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan McCarthy LAC, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.