Organization Active NPI

Flourish Counseling and Consulting

  • Clinical Social Worker
  • Mooresville, NC
National Provider Identifier
1881201630
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FLOURISH COUNSELING AND CONSULTING
Practice address
121 Rolling Hill Rd Ste 110B
Mooresville, NC 28117-8856
Phone
(704) 360-2464
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Jewel ChickeringNPI 1316461890
Title
Billing/Credentialing
Phone
(704) 309-3747

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

121 Rolling Hill Rd Ste 110B
Mooresville, NC 28117-8856

Mailing address

121 Rolling Hill Rd Ste 110B
Mooresville, NC 28117-8856
Phone (704) 360-2464

Other practice location 1

122 Backstretch Ln
Mooresville, NC 28117-8071
Phone (704) 309-3747

National Provider Directory

National Provider Directory

Locations

122 Backstretch Ln
Mooresville, NC 28117
Phone (704) 309-3747

121 Rolling Hill Rd
Ste 110B
Mooresville, NC 28117
Phone (704) 360-2464

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1881201630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ROLLING HILL RD STE 110B",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178856",
            "telephone_number": "704-360-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ROLLING HILL RD STE 110B",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178856",
            "telephone_number": "704-360-2464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Backstretch Ln",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178071",
            "country_code": "US",
            "telephone_number": "704-309-3747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLOURISH COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "CHICKERING",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "704-309-3747"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.