Fenton Wellness
NPI 1386964278ActiveOrganization· Psychologist· Fenton, MI
Psychologist in Fenton, Michigan, registered in NPPES in June 2010. The authorized official on file is Jennifer Lenore Flack, PSY.D., Owner.
Overview
| NPI | 1386964278 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 3, 2010 |
| Last updated in NPPES | Jul 19, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6301014240 | MI |
| Counselor | 101Y00000X | 6401006094 | MI |
| Psychologist | 103T00000X | 6301005725 | MI |
| Psychologist | 103T00000X | 6301002268 | MI |
| Social Worker | 104100000X | 6801006671 | MI |
| Social Worker | 104100000X | 6801019131 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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