Project Thrive

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PROJECT THRIVE

Practice address

4747 Lincoln Mall Dr Ste 600
Matteson, IL 60443-3817

Phone

(708) 368-9771

Fax

(773) 901-3764

NPI assigned

Sep 2, 2024

Organization subpart

No

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

Authorized official

Name

Teylor Johnson

Title

Founder/Ceo

Phone

(708) 368-9771

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lauren F White-Johnson, LCPC

  • Counselor
  • Orland Hills, IL
  • NPI 1568719110
  NPD (past)

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1043045982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR STE 600",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433817",
            "telephone_number": "708-368-9771",
            "fax_number": "773-901-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR STE 600",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433817",
            "telephone_number": "708-368-9771",
            "fax_number": "773-901-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT THRIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TEYLOR",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "708-368-9771"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• R & S Laboratory and Diagnostic Testing Center LLC

• Adult Mental Health Clinic/Center in Matteson, IL
• Providers in Matteson, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.