FLOURISH MENTAL HEALTH AND WELLNESS
NPI 1053274670
Nurse Practitioner - Psychiatric/Mental Health in Fernandina Beach, FL

Active since December 09, 2025
1890 S 14TH ST BUILDING 100 STE 110, FERNANDINA BEACH, FL 32034(904) 849-0889(904) 849-0898 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, Jan 22, 2026, Jan 14, 2026 and 2 more (5 updates tracked since 2025).

About Flourish Mental Health And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLOURISH MENTAL HEALTH AND WELLNESS (NPI 1053274670) is a healthcare organization registered as a psychiatric/mental health in Fernandina Beach, Florida and active in the NPI registry since December 2025. The organization maintains 2 additional practice locations and lists Malia Amber Weber-parker, President, Owner, as its authorized official.

NPPES Registry Identity

NPI1053274670
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFLOURISH MENTAL HEALTH AND WELLNESS
Location Address1890 S 14TH ST BUILDING 100 STE 110Fernandina Beach, FL 32034
Mailing Address76020 William Burgess Blvd Unit 5Yulee, FL 32097-5490 · (904) 849-0889 · Fax (904) 849-0898
Fax(904) 849-0898
Organization SubpartNo
Authorized OfficialMalia Amber Weber-parkerPresident, Owner · (413) 205-7405
Enumeration DateDecember 9, 2025
Last NPPES UpdateApril 7, 20265 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1053274670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1890 S 14TH ST BUILDING 100 STE 110, Fernandina Beach, FL 32034

Secondary Practice Locations 2

Location 1114 Fomer RdSouthampton, MA 01073-9239 · Phone (904) 849-0889 · Fax (904) 849-0898
Location 2521 Christopher WayDayville, CT 06241-1329 · Phone (904) 849-0889 · Fax (904) 849-0898

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Flourish Mental Health And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Flourish Mental Health And Wellness, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Mental Health Counselor
NPI 1417495581
185 WEST AVE SUITE 301
Ludlow, MA 01056
(860) 559-9377
✔ PECOS✔ Accepts Medicare937 mi
Mental Health Counselor
NPI 1407080427
771 BOSTON POST ROAD, SUITE 11
Marlborough, MA 01752
(508) 593-3751
✔ PECOS978 mi
Nurse Practitioner
NPI 1548725559
771 BOSTON POST RD E STE 11
Marlborough, MA 01752
(508) 593-1774
✔ PECOS978 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Flourish Mental Health And Wellness's NPI number?

The NPI number for Flourish Mental Health And Wellness is 1053274670. It was assigned to this organization in the NPPES registry on December 9, 2025.

Where is Flourish Mental Health And Wellness located?

Flourish Mental Health And Wellness is located at 1890 S 14th St Building 100 Ste 110, Fernandina Beach, FL 32034. The listed phone number is (904) 849-0889.

What is Flourish Mental Health And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Flourish Mental Health And Wellness enrolled in Medicare?

Yes. Flourish Mental Health And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Flourish Mental Health And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Flourish Mental Health And Wellness, in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Flourish Mental Health And Wellness accept?

Health plans from Anthem Blue Cross and Blue Shield list Flourish Mental Health And Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Flourish Mental Health And Wellness was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.