Flourishing Mind Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FLOURISHING MIND COUNSELING, LLC

Practice address

57 Exchange St Ste 203
Portland, ME 04101-5000

Phone

(603) 566-6133

Fax

(207) 407-7223

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Katherine J Stein, LCPC, LADCNPI 1093263154

Title

Psychotherapist/Owner

Phone

(603) 566-6133

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 1

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

• Katherine Jamieson Stein, MA, LCPC, LADC

  • Mental Health Counselor
  • Windham, ME
  • NPI 1093263154
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1922601665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 COLLEY BROOK DR",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624557",
            "telephone_number": "603-566-6133",
            "fax_number": "207-407-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 EXCHANGE ST STE 203",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015000",
            "telephone_number": "603-566-6133",
            "fax_number": "207-407-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISHING MIND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "603-566-6133",
        "authorized_official_credential": "LCPC, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093263154",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Flewelling, PA-C
• Nicholas Fling, MD
• Katie Florescu, MD
• Gerald Apolinar P Floreza
• Elizabeth Flory, MD
• James Macworth Thomas Flowerdew, M.D.
• Richard M Flowerdew, M.D.
• Kelan Fogarty
• Hannah Fogg, N.D.
• Mary E Fogg, PHD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, ME
• Providers in Portland, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.