Thrive Addictions Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

MHL-026-962 Issued in NC

Legal business name

THRIVE ADDICTIONS SERVICES

Practice address

1611B Owen Dr
Fayetteville, NC 28304-3425

Phone

(910) 483-8500

Fax

(910) 483-5864

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By 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

Mr. Michael Robert Trout, LCAS, CCS, MACNPI 1306897244

Title

Owner, Clinical Supervisor

Phone

(910) 483-8500

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Michael Robert Trout, MA, MSW, LCAS, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1306897244

  Rehabilitation, Substance Use Disorder

  NPD (past) Authorized official

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1053851865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611B OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425",
            "telephone_number": "910-483-8500",
            "fax_number": "910-483-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611B OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425",
            "telephone_number": "910-483-8500",
            "fax_number": "910-483-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE ADDICTIONS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER, CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "910-483-8500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCAS, CCS, MAC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL-026-962",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": "MHL-026-962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111996",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Thornton
• Suniah Thornton
• Glenn S Thorp, PHARMD
• Candy Thorpe, CNP
• Sherry Thrasher, PSY.D.
• Thrive Counseling & Consulting PLLC
• Thrive Counseling & Consulting, PLLC
• Thrive Within Therapeutic Services, PLLC
• Thriving Therapy and Residential Services, PLLC
• Nishanth Anthony Reddy Thumma, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.