Flourish Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FLOURISH COUNSELING

Practice address

13403 N Government Way Ste 319
Hayden, ID 83835-8905

Phone

(208) 755-1641

NPI assigned

Mar 29, 2021

Last updated

Dec 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lindsey Nichole Petrick, LCSWNPI 1558953398

Title

Owner/Therapist

Phone

(208) 755-1641

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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.

• Lindsey Nichole Petrick, LCSW

  • Clinical Social Worker
  • Hayden, ID
  • NPI 1558953398
  NPD Authorized official

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1952988461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13403 N GOVERNMENT WAY STE 319",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358905",
            "telephone_number": "208-755-1641",
            "fax_number": "208-625-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13403 N GOVERNMENT WAY STE 319",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358905",
            "telephone_number": "208-755-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "PETRICK",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "208-755-1641",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0000000000",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hayden",
            "affiliation": "N",
            "endpointDescription": "EHR: Simple practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13403 N Government Way Ste 319",
            "city": "Hayden",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838358905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Hayden, ID
• Providers in Hayden, ID by specialty
• Mental Health Counselor in Idaho

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