Flourish Counseling Mt, LLC
NPI 1063071645ActiveOrganization· Social Worker, Clinical· Bozeman, MT
Social Worker, Clinical in Bozeman, Montana, registered in NPPES in June 2019. The authorized official on file is Jai Kieron Rene Russell, LCSW, Clinical Social Worker.
Overview
| NPI | 1063071645 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2019 |
| Last updated in NPPES | Dec 8, 2021 |
| Certified by provider | Dec 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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