Organization Active NPI

Thrive Counseling and Wellness, LLC

  • Clinical Social Worker
  • Gadsden, AL
National Provider Identifier
1023572773
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THRIVE COUNSELING AND WELLNESS, LLC
Practice address
108 S 5TH St
Gadsden, AL 35901-4216
Phone
(256) 419-3665
Fax
(256) 270-2777
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Mr. Martell T Hall, LICSWNPI 1518478619
Title
Owner
Phone
(256) 419-3665

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

108 S 5TH St
Gadsden, AL 35901-4216

Mailing address

108 S 5TH St
Gadsden, AL 35901-4216
Phone (256) 419-3665

Other identifiers 1

IdentifierTypeStateIssuer
1518478619MedicaidAL

National Provider Directory

National Provider Directory

Locations

108 S 5th St
Gadsden, AL 35901
Phone (256) 294-4173

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1023572773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014216",
            "telephone_number": "256-419-3665",
            "fax_number": "256-270-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014216",
            "telephone_number": "256-419-3665",
            "fax_number": "256-270-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARTELL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-419-3665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518478619",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.