Active NPI
Thrive Therapy Service, LLC
- Mental Health Counselor
- Pensacola, FL
National Provider Identifier
1083342430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Cooper Mayo, LMHC, RPT-S
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Pensacola, FL
- NPI 1295357622
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.