Thriveworks Telepsychiatry - Illinois

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THRIVEWORKS TELEPSYCHIATRY - ILLINOIS

Doing business as

Thriveworks

Practice address

770 N Halsted St Ste 201B
Chicago, IL 60642-5999

Phone

(855) 284-7483

NPI assigned

Aug 31, 2021

Last updated

Feb 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Centore, CEO

Title

Ceo

Phone

(540) 217-6461

Specialties & licenses 1

Addresses

Other names 1

• Thriveworks Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 14

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.

• Shamerra Colvard, APRN

  • Family Nurse Practitioner
  • Willowbrook, IL
  • NPI 1811612179
  Medicare reassignment Care Compare group NPD
• Ugonwa Gloria Izuegbu

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1750903159
  Medicare reassignment Care Compare group NPD
• Nathalie Rosine Kori Nkenlifack Manhenkeu, FNP

  • Family Nurse Practitioner
  • Urbana, IL
  • NPI 1609543248
  Medicare reassignment Care Compare group NPD
• Aneel Ahmed Ursani, M.D.

  • Psychiatry Physician
  • Clinton, MO
  • NPI 1982085676

  IL, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Jodie Lynn Warsing, CNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, IA
  • NPI 1639116767

  IL

  Medicare reassignment Care Compare group NPD
• Mary Golembeck, FNP-BC, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Downers Grove, IL
  • NPI 1265962336
  Medicare reassignment Care Compare group
• Medinat Omobolanle Balogun, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Joliet, IL
  • NPI 1558964239
  Medicare reassignment NPD
• Jacqueline Ann Bode, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Champaign, IL
  • NPI 1245572213
  Medicare reassignment NPD
• Lori Anne Hopwood, FNP-BC, WHNP

  • Family Nurse Practitioner
  • Litchfield, IL
  • NPI 1588976930
  Medicare reassignment NPD
• Anh Nguyen, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1508437484
  Medicare reassignment NPD
• Idayatu Ola Omoniyi, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tinley Park, IL
  • NPI 1174282826

  Multi-Specialty

  Medicare reassignment NPD
• Scott Gordon, MD

  • Psychiatry Physician
  • Ravenswood, WV
  • NPI 1821038159

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1154099620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N HALSTED ST STE 201B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425999",
            "telephone_number": "855-284-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7425 Janes Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Woodridge",
            "state": "IL",
            "postal_code": "605172323",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Susan Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Normal",
            "state": "IL",
            "postal_code": "617616206",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 W Higgins Rd Ste 935",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601692098",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9730 S Western Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "IL",
            "postal_code": "608052814",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724 Sherman Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602015607",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 W Park Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618207888",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 N Oliphant Avenue",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60631",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N Michigan Ave Ste 1810",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606013983",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3205 N Wilke Rd Ste 103C",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600040001",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Executive Dr Ste 315D",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605048142",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N York St Ste C",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601262785",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVEWORKS TELEPSYCHIATRY - ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "CENTORE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-217-6461",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriveworks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thriveworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.