NPIMap

Organization Active NPI

Thriveworks Clinical - Washington, PC

Doing business as Thriveworks

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1063087856
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THRIVEWORKS CLINICAL - WASHINGTON, PC
Doing business as
Thriveworks
Practice address
10303 Meridian Ave N Ste 200
Seattle, WA 98133-9483
Phone
(855) 284-7483
NPI assigned
May 24, 2021
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Nathan B Miller
Title
Owner
Phone
(540) 217-6461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

10303 Meridian Ave N Ste 200
Seattle, WA 98133-9483

Mailing address

PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483

Other practice location 1

114 W Magnolia St Ste 303
Bellingham, WA 98225-4354
Phone (855) 284-7483

Other practice location 2

4610 NE 77th Ave Ste 139
Vancouver, WA 98662-6789
Phone (855) 284-7483

Other names 1

  • Thriveworks Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026000985 WA Part B Supplier - Clinic/Group Practice 1052787488 Receives reassigned benefits from 34 practitioners
Practice locations: Seattle, WA; Bellingham, WA

National Provider Directory

National Provider Directory

Locations

114 W Magnolia St
Ste 303
Bellingham, WA 98225

10303 Meridian Ave N
Ste 200
Seattle, WA 98133
Phone (206) 790-4888

4610 NE 77th Ave
Ste 139
Vancouver, WA 98662

Networks

  • devoted network organization-54bc88f0-8c1c-41b6-b022-755ebfe4d22c

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1063087856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 MERIDIAN AVE N STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339483",
            "telephone_number": "855-284-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 W Magnolia St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982254354",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4610 NE 77th Ave Ste 139",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626789",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVEWORKS CLINICAL - WASHINGTON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-217-6461"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriveworks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thriveworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.