Time to Thrive Counseling Agency, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TIME TO THRIVE COUNSELING AGENCY, LLC

Practice address

1904 North Blvd
Cadillac, MI 49601-9100

Phone

(231) 884-0786

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Sallie L ThomasNPI 1104200369

Title

Owner/Operator

Phone

(844) 884-0786

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sallie Thomas

  • Clinical Social Worker
  • Cadillac, MI
  • NPI 1104200369
  Medicare reassignment Authorized official
• Jocindee Gasco, MA, LLP, CAADC

  • Mental Health Counselor
  • Petoskey, MI
  • NPI 1235369083
  NPD (past)

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1104387984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 NORTH BLVD",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019100",
            "telephone_number": "231-884-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 NORTH BLVD",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019100",
            "telephone_number": "231-884-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME TO THRIVE COUNSELING AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SALLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "844-884-0786"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sallie Thomas
• Kerry Jean Thompson
• Lisa Marie Thompson, DPT
• Nathan Marcus Thomsen
• Thrive Therapy & Wellness, PC
• TLC Companions LLC
• Jon William Toepler, D.D.S.
• Township of Cherry Grove
• Township of Selma
• Transition Afc Homes and Farm LLC

• Clinical Social Worker in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.