Active NPI
Thrive Therapeutic LLC
- Clinical Social Worker
- Independence, KY
National Provider Identifier
1033075460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THRIVE THERAPEUTIC LLC
- Practice address
- 11777 Manor Lake Dr
Independence, KY 41051-9716 - Phone
- (513) 473-8436
- NPI assigned
- Dec 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Mickaela Runyon, LCSW, LISW
- Title
- Therapist
- Phone
- (859) 587-2995
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
11777 Manor Lake Dr
Independence, KY 41051-9716
Mailing address
11777 Manor Lake Dr
Independence, KY 41051-9716
Phone (513) 473-8436
National Provider Directory
National Provider DirectoryPractitioners & 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": "1767052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1033075460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11777 MANOR LAKE DR",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410519716",
"telephone_number": "513-473-8436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11777 MANOR LAKE DR",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410519716",
"telephone_number": "513-473-8436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE THERAPEUTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-30",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "RUNYON",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "MICKAELA",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "859-587-2995",
"authorized_official_credential": "LCSW, LISW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.