Organization Active NPI

T3Thrive PLLC

  • Professional Counselor
  • Lake Orion, MI
National Provider Identifier
1003704149
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
T3THRIVE PLLC
Practice address
88 N McGregor Dr
Lake Orion, MI 48362-3723
Phone
(586) 839-8696
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Diana Renee Conklin, MA, LPCNPI 1720350432
Title
Licensed Professional Counselor
Phone
(586) 839-8696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

88 N McGregor Dr
Lake Orion, MI 48362-3723

Mailing address

88 N McGregor Dr
Lake Orion, MI 48362-3723
Phone (586) 839-8696

Other names 2

  • T3Thrive Doing business as
  • T3Thrive PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251212001224 MI Part B Supplier - Clinic/Group Practice 6406340876 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Orion, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1003704149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 N MCGREGOR DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623723",
            "telephone_number": "586-839-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 N MCGREGOR DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623723",
            "telephone_number": "586-839-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T3THRIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "586-839-8696",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T3Thrive",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "T3Thrive PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.