Organization Active NPI

Thrive Child & Family Therapy Center PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bismarck, ND
National Provider Identifier
1093488868
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THRIVE CHILD & FAMILY THERAPY CENTER PLLC
Doing business as
Thrive Child & Family Therapy Center PLLC
Practice address
200 E Main Ave Ste 102
Bismarck, ND 58501-3857
Phone
(701) 989-0210
NPI assigned
Jul 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Michelle Zimney, LPCNPI 1215489414
Title
LPC
Phone
(701) 989-0210

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 E Main Ave Ste 102
Bismarck, ND 58501-3857

Mailing address

200 E Main Ave Ste 102
Bismarck, ND 58501-3857
Phone (701) 989-0210

Other identifiers 1

IdentifierTypeStateIssuer
166847MedicaidND

Other names 1

  • Thrive Child & Family Therapy Center PLLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Bismarck

National Provider Directory

National Provider Directory

Locations

200 E Main Ave
Ste 102
Bismarck, ND 58501
Phone (701) 989-0210

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": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1093488868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MAIN AVE STE 102",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013857",
            "telephone_number": "701-989-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN AVE STE 102",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013857",
            "telephone_number": "701-989-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE CHILD & FAMILY THERAPY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "ZIMNEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "701-989-0210",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166847",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bismarck",
            "affiliation": "N",
            "address_1": "200 E Main Ave Ste 102",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585013857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Thrive Child & Family Therapy Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.