Organization Active NPI

Thriveworks Clinical - North Carolina PC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1003303082
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THRIVEWORKS CLINICAL - NORTH CAROLINA PC
Practice address
8406 Six Forks Rd Ste 104
Raleigh, NC 27615-3075
Phone
(919) 424-6045
Fax
(617) 379-0496
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Anthony Centore
Title
Owner
Phone
(919) 424-6045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8406 Six Forks Rd Ste 104
Raleigh, NC 27615-3075

Mailing address

PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483

Other practice location 1

3111 Springbank Ln Ste 1
Charlotte, NC 28226-3372
Phone (855) 284-7483

Other practice location 2

2150 Country Club Rd Ste 228
Winston Salem, NC 27104-4241
Phone (855) 284-7483

Other practice location 3

82 Patton Ave Ste 217
Asheville, NC 28801-3336
Phone (855) 284-7483

Other practice location 4

3333 Wrightsville Ave Ste G107
Wilmington, NC 28403-4115
Phone (855) 284-7483

Other practice location 5

19901 W Catawba Ave Ste 102
Cornelius, NC 28031-4040
Phone (855) 284-7483

Other practice location 6

3000 Highwoods Blvd Ste 100
Raleigh, NC 27604-1029
Phone (855) 284-7483

Other practice location 7

16 W Martin St Ste 201
Raleigh, NC 27601-2991
Phone (855) 284-7483

Other practice location 8

3300 Battleground Ave Ste 220
Greensboro, NC 27410-2490
Phone (855) 284-7483

Other practice location 9

111 Lamon St Ste 133
Fayetteville, NC 28301-4956
Phone (855) 284-7483

Other practice location 10

505 S Duke St Ste 302
Durham, NC 27701-3199
Phone (855) 284-7483

Other practice location 11

5826 Fayetteville Rd Ste 211
Durham, NC 27713-8684
Phone (855) 284-7483

Other practice location 12

119 SW Maynard Rd Ste 200
Cary, NC 27511-4472
Phone (855) 284-7483

Other practice location 13

1516 E Franklin St Ste 200
Chapel Hill, NC 27514-2812
Phone (855) 284-7483

Other practice location 14

4412 Park Rd Ste B
Charlotte, NC 28209-3130
Phone (855) 284-7483

Other identifiers 1

IdentifierTypeStateIssuer
0701005634OtherVALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210120000669 NC Part B Supplier - Clinic/Group Practice 8527471200 Receives reassigned benefits from 188 practitioners
Practice locations: Winston Salem, NC; Wilmington, NC; Raleigh, NC; Greensboro, NC; Fayetteville, NC; Durham, NC; Asheville, NC; Cary, NC…

National Provider Directory

National Provider Directory

Locations

82 Patton Ave
Ste 217
Asheville, NC 28801
Phone (828) 373-3347

119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112

119 SW Maynard Rd
Ste 200
Cary, NC 27511
Phone (570) 854-8532

1516 E Franklin St
Ste 200
Chapel Hill, NC 27514
Phone 6173790496 ext. 92527

3111 Springbank Ln
Ste 1
Charlotte, NC 28226

4412 Park Rd
Charlotte, NC 28209
Phone (855) 675-4144

4412 Park Rd
Ste B
Charlotte, NC 28209
Phone (631) 416-1319

19901 W Catawba Ave
Ste 102
Cornelius, NC 28031
Phone (804) 613-4812

505 S Duke St
Ste 302
Durham, NC 27701
Phone (571) 493-3535

5826 Fayetteville Rd
Ste 211
Durham, NC 27713
Phone (855) 675-4144

111 Lamon St
Ste 133
Fayetteville, NC 28301

3300 Battleground Ave
Ste 220
Greensboro, NC 27410
Phone (336) 455-7696

3000 Highwoods Blvd
Ste 100
Raleigh, NC 27604

3000 Highwoods Blvd
Ste 1000
Raleigh, NC 27604
Phone (919) 338-5227

8406 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (855) 675-4144

16 W Martin St
Ste 201
Raleigh, NC 27601
Phone (984) 369-9756

3333 Wrightsville Ave
Ste G107
Wilmington, NC 28403

2150 Country Club Rd
Ste 228
Winston Salem, NC 27104
Phone (336) 203-8855

Networks

  • SC HMO

Practitioners & affiliated clinicians

Practitioners 202

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 202

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1003303082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483",
            "fax_number": "617-379-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 SIX FORKS RD STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153075",
            "telephone_number": "919-424-6045",
            "fax_number": "617-379-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 Springbank Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282263372",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Country Club Rd Ste 228",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271044241",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "82 Patton Ave Ste 217",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288013336",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Wrightsville Ave Ste G107",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034115",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19901 W Catawba Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280314040",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Highwoods Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276041029",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 W Martin St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276012991",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Battleground Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274102490",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Lamon St Ste 133",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283014956",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S Duke St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277013199",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5826 Fayetteville Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277138684",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 SW Maynard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275114472",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 E Franklin St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275142812",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4412 Park Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093130",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVEWORKS CLINICAL - NORTH CAROLINA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "CENTORE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-424-6045"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0701005634",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.