NPIMap

Organization Active NPI

Ashlee Secord

Doing business as Thrive Therapy, LLC

  • Marriage & Family Therapist
  • Burnsville, MN
National Provider Identifier
1073902177
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ASHLEE SECORD
Doing business as
Thrive Therapy, LLC
Practice address
11990 Portland Ave
Burnsville, MN 55337-1516
Phone
(612) 568-6050
Fax
(952) 736-8375
NPI assigned
Jan 13, 2015
Last updated
Jul 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Ashlee Noel SecordNPI 1659516888
Title
Owner
Phone
(612) 568-6050

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X 1971 MN
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

11990 Portland Ave
Burnsville, MN 55337-1516

Mailing address

11990 Portland Ave
Burnsville, MN 55337-1516
Phone (612) 568-6050

Other names 1

  • Thrive Therapy, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221123002081 MN Part B Supplier - Clinic/Group Practice 1355719287 Receives reassigned benefits from 25 practitioners
Practice locations: Minneapolis, MN; Saint Paul, MN; Roseville, MN; New Brighton, MN; Minnetonka, MN; Mankato, MN; Edina, MN; Eagan, MN…

National Provider Directory

National Provider Directory
Tax ID family
Ashlee Secord2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

190 S River Ridge Cir
#208
Burnsville, MN 55337

100 Warren St
Ste 308
Mankato, MN 56001

2475 15th St NW
New Brighton, MN 55112
Phone (612) 314-5939

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1073902177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 PORTLAND AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371516",
            "telephone_number": "612-568-6050",
            "fax_number": "952-736-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 PORTLAND AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371516",
            "telephone_number": "612-568-6050",
            "fax_number": "952-736-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEE SECORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "SECORD",
        "authorized_official_first_name": "ASHLEE",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-568-6050"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1971",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.