Organization Active NPI

Thrive Mental Health, LLC

  • Nurse Practitioner
  • Bellevue, NE
National Provider Identifier
1174091227
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
THRIVE MENTAL HEALTH, LLC
Doing business as
Janette Stallings Professional Services LLC
Practice address
1620 Wilshire Dr Ste 220
Bellevue, NE 68005-6600
Phone
(402) 502-1931
Fax
(402) 999-4812
NPI assigned
Nov 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Janette Stallings, APRNNPI 1871092353
Title
Owner
Phone
(402) 502-1931

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1620 Wilshire Dr Ste 220
Bellevue, NE 68005-6600

Mailing address

PO Box 1420
Bellevue, NE 68005-1420
Phone (402) 502-1931

Other names 1

  • Janette Stallings Professional Services LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190111002820 NE Part B Supplier - Clinic/Group Practice 2961748975 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, NE

National Provider Directory

National Provider Directory

Locations

1620 Wilshire Dr
Ste 222
Bellevue, NE 68005
Phone (402) 502-1931

1620 Wilshire Dr
Ste 220
Bellevue, NE 68005
Phone (402) 502-1931

706 N 129th St
Ste 111
Omaha, NE 68154
Phone (402) 671-2710

Practitioners & affiliated clinicians

Practitioners 2

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": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1174091227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1420",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680051420",
            "telephone_number": "402-502-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 WILSHIRE DR STE 220",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680056600",
            "telephone_number": "402-502-1931",
            "fax_number": "402-999-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-502-1931",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janette Stallings Professional Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.