Floss Mental Health, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FLOSS MENTAL HEALTH, LLC

Practice address

753 SE Main St Ste 205
Roseburg, OR 97470-3985

Phone

(503) 455-7656

Fax

(503) 457-0645

NPI assigned

Nov 14, 2022

Last updated

Jun 25, 2024By 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

Andrea Witham, FNP-C, PMHNP-BCNPI 1275982324

Title

Owner/Provider

Phone

(503) 455-7656

Specialties & licenses 1

Addresses

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.

• Andrea Shea Witham, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseburg, OR
  • NPI 1275982324
  NPD Authorized official

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1972211324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 SE MAIN ST STE 205",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703985",
            "telephone_number": "503-455-7656",
            "fax_number": "503-457-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 SE MAIN ST STE 205",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703985",
            "telephone_number": "503-455-7656",
            "fax_number": "503-457-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOSS MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "WITHAM",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "503-455-7656",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.flossmentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "753 SE Main St Ste 205",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974703985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Paul Flinn, MD
• Samantha Flora, CADC I
• Maria Paola Flores Morelos
• Esmeralda Flores
• Heather Jessica Flores, LPN
• Forget Me Not Family Care Home (Forget Me Not Village)
• Forget Me Not Family Care Home (Forget Me Not Village)
• Devan Fors
• Dylan Fors, PT
• Mary Therese Fortier, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.