Organization Active NPI

Thrive Counseling and Consulting Services, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, AR
National Provider Identifier
1083267496
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THRIVE COUNSELING AND CONSULTING SERVICES, LLC
Practice address
607 N 1St St Ste 4
Jacksonville, AR 72076-4142
Phone
(501) 708-5843
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Antionne Dewayne Alcorn, LPCNPI 1275678179
Title
Owner
Phone
(501) 708-5843

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

607 N 1St St Ste 4
Jacksonville, AR 72076-4142

Mailing address

607 N 1St St Ste 4
Jacksonville, AR 72076-4142
Phone (501) 708-5843

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404004366 AR Part B Supplier - Clinic/Group Practice 5597103861 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, AR

National Provider Directory

National Provider Directory

Locations

607 N 1st St
Ste 4
Jacksonville, AR 72076
Phone (501) 708-5843

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1083267496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 N 1ST ST STE 4",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764142",
            "telephone_number": "501-708-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 N 1ST ST STE 4",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764142",
            "telephone_number": "501-708-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "ALCORN",
        "authorized_official_first_name": "ANTIONNE",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-708-5843",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.