Thriving Minds Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THRIVING MINDS THERAPY, LLC

Practice address

1310 Cambia Dr Apt 6209
Schaumburg, IL 60193-4610

Phone

(773) 800-0063

Fax

(773) 423-4360

NPI assigned

Dec 2, 2022

Last updated

Dec 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caittlyn Herrmann

Title

Medical Biller

Phone

(920) 461-0474

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Janet Marie Vidales, LCSW

  • Clinical Social Worker
  • Schaumburg, IL
  • NPI 1013558196
  NPD

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1083324800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CAMBIA DR APT 6209",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601934610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CAMBIA DR APT 6209",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601934610",
            "telephone_number": "773-800-0063",
            "fax_number": "773-423-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING MINDS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "CAITTLYN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "920-461-0474"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C. Bonuso D.D.S., Charles T. Camacho D.D.S.
• Jared Thomas
• Melanie Thomas
• Nisha Thomas
• Christopher Thorson, ATC
• Victoria Thurman
• Jennifer Timpanaro, PHARMD
• Magdalena Maria Tipton, NP
• Aidaluz Tirado, PSYD
• Judy Tisdall, PSY.D., LCPC

• Mental Health Counselor in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.