NPIMap

Organization Active NPI

Thrive Trauma, Inc.

Doing business as Thrive Counseling and Trauma Therapy

  • Counselor
  • Birmingham, AL
National Provider Identifier
1073050290
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THRIVE TRAUMA, INC.
Doing business as
Thrive Counseling and Trauma Therapy
Practice address
1034 23Rd St S
Birmingham, AL 35205-2481
Phone
(205) 705-0195
Fax
(205) 978-0072
NPI assigned
Jan 25, 2017
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Jeffery Harrolle, LPCNPI 1528505039
Title
Owner
Phone
(205) 607-7603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1034 23Rd St S
Birmingham, AL 35205-2481

Mailing address

1034 23Rd St S
Birmingham, AL 35205-2481
Phone (205) 470-3934

Other names 1

  • Thrive Counseling and Trauma Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213004016 AL Part B Supplier - Clinic/Group Practice 7416391818 Receives reassigned benefits from 15 practitioners
Practice locations: Birmingham, AL; Vestavia Hills, AL; Tuscaloosa, AL; Huntsville, AL; Hoover, AL; Foley, AL; Gulf Shores, AL

National Provider Directory

National Provider Directory

Locations

1034 23rd St S
Birmingham, AL 35205
Phone (205) 289-7823

1034 23rd St S
Ste 201
Birmingham, AL 35205

2101 Magnolia Ave S
Ste 320
Birmingham, AL 35205

5961 Chalkville Mountain Ln
Ste 109
Birmingham, AL 35235

716 37th St S
Birmingham, AL 35222
Phone (205) 705-1095

820 N Alston St
Foley, AL 36535

117 E 14th Ave
Gulf Shores, AL 36542
Phone (205) 249-7701

2109 Darlington St
Hoover, AL 35226
Phone (205) 447-6155

2115 Data Park Cir
Hoover, AL 35244
Phone (205) 478-9260

3311 Bob Wallace Ave SW
Ste 103
Huntsville, AL 35805
Phone (256) 258-9341

2126 McFarland Blvd E
Ste B
Tuscaloosa, AL 35404

2017 Canyon Rd
Vestavia Hills, AL 35216
Phone (205) 206-9425

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1073050290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 23RD ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052481",
            "telephone_number": "205-470-3934",
            "fax_number": "205-978-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 23RD ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052481",
            "telephone_number": "205-705-0195",
            "fax_number": "205-978-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE TRAUMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "HARROLLE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-607-7603",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Counseling and Trauma Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Counseling and Trauma Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.