Organization Active NPI

Thrive Restorative Services

  • Social Worker
  • Kansas City, KS
National Provider Identifier
1083221303
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
THRIVE RESTORATIVE SERVICES
Practice address
1911 North 62ND Street
Kansas City, KS 66102
Phone
(913) 303-7416
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Delissa Cooper, LMSWNPI 1467862169
Title
Owner
Phone
(913) 486-5152

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1911 North 62ND Street
Kansas City, KS 66102

Mailing address

12641 Antioch Rd Ste 1089
Overland Park, KS 66213-1701
Phone (913) 303-7416

Other practice location 1

1911 N 62nd St
Kansas City, KS 66102-1207
Phone (913) 303-7416

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1083221303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12641 ANTIOCH RD STE 1089",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131701",
            "telephone_number": "913-303-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 NORTH 62ND STREET",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66102",
            "telephone_number": "913-303-7416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 N 62nd St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661021207",
            "country_code": "US",
            "telephone_number": "913-303-7416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE RESTORATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-486-5152",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.