A Thriving Place LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

A THRIVING PLACE LLC

Practice address

3274 Briggs Blvd NE
Grand Rapids, MI 49525-2502

Phone

(734) 686-0571

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Sierra Ellison, LMSW

Title

Owner

Phone

(616) 929-0324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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

• Marian Anderson

  • Clinical Social Worker
  • Middleville, MI
  • NPI 1346948395
  NPD (past)
• Karley Deering

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1356764757
  NPD (past)
• Jaela Nelson

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1962258822
  NPD (past)

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1114648995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3274 BRIGGS BLVD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252502",
            "telephone_number": "734-686-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 BRIGGS BLVD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252502",
            "telephone_number": "734-686-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A THRIVING PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-929-0324",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 May 23, 2023; 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.