Jason Kendall Flowe, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

09267 Issued in GA

Practice address

80 Mill St
Roswell, GA 30075-4975

Phone

(770) 403-0825

NPI assigned

Sep 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 19, 2024 through Apr 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hidden River Counseling

  • Mental Health Counselor
  • Roswell, GA
  • NPI 1851262109
  NPD Authorized official

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1972320232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MILL ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MILL ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754975",
            "telephone_number": "770-403-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWE",
        "first_name": "JASON",
        "middle_name": "KENDALL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "09267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karli Fleitas, PHD, LMHC
• Bianca Waters Fleming
• Marla Fleming, APRN, CNSPMH-BC
• Natalie A Flolo, RD, LD, CDE
• Florida Autism Center
• Focus Eye Care Inc.
• Asila Folds
• Allison Ivy Foley, RDN, LDN
• Sharon Jean Foley
• For the People of Georgia, LLC

• Mental Health Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.