Thriveworks Clinical - North Carolina PC

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

Last updated

Feb 11, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Networks

• SC HMO

Practitioners 202

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fred Amematsro, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Thomasville, NC
  • NPI 1750735825
  Medicare reassignment Care Compare group NPD
• Kimberly M Azevedo, LMFTA

  • Marriage & Family Therapist
  • Cary, NC
  • NPI 1316437056
  Medicare reassignment Care Compare group NPD
• Ava Baker, LPC-A

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1366954331
  Medicare reassignment Care Compare group NPD
• Nicole Baltimore

  • Mental Health Counselor
  • Garner, NC
  • NPI 1578279253
  Medicare reassignment Care Compare group NPD
• Asante McCoy Beverly, LCSW

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1124644539
  Medicare reassignment Care Compare group NPD
• Gayle Denise Bookout

  • Professional Counselor
  • Charlotte, NC
  • NPI 1164697595
  Medicare reassignment Care Compare group NPD
• Miranda Jade Bradshaw, LCSW

  • Mental Health Counselor
  • Asheville, NC
  • NPI 1184104739
  Medicare reassignment Care Compare group NPD
• James Byron Brooks, PHD

  • Mental Health Counselor
  • Apex, NC
  • NPI 1821201344
  Medicare reassignment Care Compare group NPD
• Sharon Denise Buckner, LPC-P-LCAS

  • Professional Counselor
  • Charlotte, NC
  • NPI 1972889624
  Medicare reassignment Care Compare group NPD
• Kati Lynn Burkhart

  • Mental Health Counselor
  • Durham, NC
  • NPI 1427703859
  Medicare reassignment Care Compare group NPD
• Aquita Lynn Burrus, MSW, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1730562505
  Medicare reassignment Care Compare group NPD
• Nancy L Capel, LCSW

  • Clinical Social Worker
  • Statesville, NC
  • NPI 1215028063
  Medicare reassignment Care Compare group NPD

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": [],
    "endpoints": [],
    "other_names": []
}

• Richard Thrash Jr., QP
• Ryan Threadgill, MD
• Three Oaks Behavioral Health & Wellness
• Thrive Community Services LLC
• Thrive OT, PLLC
• Thriving Foundation
• Thriving Foundation
• Jamie S Throndset, OT/L
• Vivian Ariail Throop, D.D.S.
• Throughline Psychotherapy and Consulting, PLLC

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• 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.