Thrive Counseling and Wellness LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THRIVE COUNSELING AND WELLNESS LLC

Practice address

210 Walnut St
King of Prussia, PA 19406-2536

Phone

(610) 864-5476

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Mallory Grivner, LCSWNPI 1013527357

Title

Owner

Phone

(610) 864-5476

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 6

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

• Mallory Elizabeth Grivner, LCSW

  • Clinical Social Worker
  • Blue Bell, PA
  • NPI 1013527357
  Medicare reassignment Care Compare group NPD Authorized official
• William Gerard Longacre Jr.

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1306612239
  Medicare reassignment Care Compare group NPD
• Sue Jane Roh

  • Clinical Social Worker
  • Blue Bell, PA
  • NPI 1083480552
  Medicare reassignment Care Compare group NPD
• Anthony Lee Salinas, LCSW

  • Clinical Social Worker
  • Audubon, PA
  • NPI 1902304470
  Medicare reassignment Care Compare group NPD
• Polly E Dobbs, LSW

  • Clinical Social Worker
  • Pottstown, PA
  • NPI 1730766676
  Medicare reassignment Care Compare group
• Elizabeth (Betty) Coutts, LPC

  • Mental Health Counselor
  • Glenside, PA
  • NPI 1528756392
  Medicare reassignment NPD

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1184214751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WALNUT ST",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062536",
            "telephone_number": "610-864-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WALNUT ST",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062536",
            "telephone_number": "610-864-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A",
        "authorized_official_last_name": "GRIVNER",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-864-5476",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Druanna Tidmore
• Ann G Till, MD
• Teana Tittle
• TLC Management (Delaware Valley), LLC
• Kimberly Todisco, BCBA

• In Home Supportive Care Agency in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.