Organization Active NPI

Flourish and Fly LLC

  • Mental Health Counselor
  • Trooper, PA
National Provider Identifier
1962219840
Registry record updated Dec 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FLOURISH AND FLY LLC
Practice address
2550 Eisenhower Ave Ste A203
Trooper, PA 19403-2331
Phone
(202) 203-0490
NPI assigned
Dec 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2024

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

Authorized official

Name
Mark Lenker
Title
Owner
Phone
(202) 203-0490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2550 Eisenhower Ave Ste A203
Trooper, PA 19403-2331

Mailing address

50 Oak LN
Berwyn, PA 19312-1218
Phone (202) 203-0490

Other names 1

  • Ellie Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

2550 Eisenhower Ave
Ste A203
Trooper, PA 19403
Phone (202) 203-0490

NPI Registry JSON

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734134400000",
    "number": "1962219840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OAK LN",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121218",
            "telephone_number": "202-203-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 EISENHOWER AVE STE A203",
            "city": "TROOPER",
            "state": "PA",
            "postal_code": "194032331",
            "telephone_number": "202-203-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH AND FLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A",
        "authorized_official_last_name": "LENKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-203-0490"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trooper, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.