Organization Active NPI

Thrive Therapy Service, LLC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1083342430
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THRIVE THERAPY SERVICE, LLC
Practice address
600 University Office Blvd Ste B
Pensacola, FL 32504-6475
Phone
(850) 483-0023
NPI assigned
Aug 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Jessica Cooper Mayo, LMHC, RPT-SNPI 1295357622
Title
Owner & Therapist
Phone
(850) 483-0023

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

600 University Office Blvd Ste B
Pensacola, FL 32504-6475

Mailing address

2047 Joshua Dr
Cantonment, FL 32533-4551
Phone (850) 748-1047

National Provider Directory

National Provider Directory

Locations

600 University Office Blvd
Ste B
Pensacola, FL 32504
Phone (850) 483-0023

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1083342430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 JOSHUA DR",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325334551",
            "telephone_number": "850-748-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY OFFICE BLVD STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046475",
            "telephone_number": "850-483-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE THERAPY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "COOPER",
        "authorized_official_title_or_position": "OWNER & THERAPIST",
        "authorized_official_telephone_number": "850-483-0023",
        "authorized_official_credential": "LMHC, RPT-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.