NPIMap

Organization Active NPI

I-Thrive Therapy and Wellness, LLC

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1124651930
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
I-THRIVE THERAPY AND WELLNESS, LLC
Practice address
2005 Old Greenbrier Rd Ste 107
Chesapeake, VA 23320-2649
Phone
(757) 761-9425
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Natasha Ewa, LCSWNPI 1417428285
Title
Owner
Phone
(757) 761-9425

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2005 Old Greenbrier Rd Ste 107
Chesapeake, VA 23320-2649

Mailing address

4036 Ravine Gap Dr
Suffolk, VA 23434-3050
Phone (401) 359-1739

Other names 1

  • I-Thrive Therapy and Wellness, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Chesapeake Direct

National Provider Directory

National Provider Directory

Locations

2005 Old Greenbrier Rd
Ste 107
Chesapeake, VA 23320
Phone (757) 761-9425

Practitioners & affiliated clinicians

Practitioners 3

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": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1124651930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 RAVINE GAP DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234343050",
            "telephone_number": "401-359-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 OLD GREENBRIER RD STE 107",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202649",
            "telephone_number": "757-761-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-THRIVE THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "EWA",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-761-9425",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chesapeake",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2005 Old Greenbrier Rd Ste 107",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233202649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "I-Thrive Therapy and Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.