Organization Active NPI

Flourish Mental Health PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1770100547
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FLOURISH MENTAL HEALTH PLLC
Practice address
8307 Six Forks Rd Ste 201
Raleigh, NC 27615-3768
Phone
(919) 583-6629
NPI assigned
Jun 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Authorized official

Name
Mrs. Marissa Beth Howard, LCSW
Title
Owner
Phone
(919) 583-6629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8307 Six Forks Rd Ste 201
Raleigh, NC 27615-3768

Mailing address

7413 Mine Shaft Rd
Raleigh, NC 27615-6023
Phone (919) 583-6629

Other identifiers 1

IdentifierTypeStateIssuer
1376859702OtherNPPES

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL flourishmentalhealthraleigh@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593302400000",
    "number": "1770100547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 MINE SHAFT RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156023",
            "telephone_number": "919-583-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 SIX FORKS RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153768",
            "telephone_number": "919-583-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-583-6629",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1376859702",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "flourishmentalhealthraleigh@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8307 Six Forks Rd Ste 201",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276153768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; 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.