Thrive Life Advancement Ministries Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THRIVE LIFE ADVANCEMENT MINISTRIES INC

Practice address

1180 Bristol Hwy
Elizabethton, TN 37643-6684

Phone

(423) 747-3803

NPI assigned

May 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Lincoln Shelton, LPCMHSP

Title

Ceo/Founder

Phone

(423) 747-3803

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1194462200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1053",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376592053",
            "telephone_number": "423-747-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BRISTOL HWY",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376436684",
            "telephone_number": "423-747-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE LIFE ADVANCEMENT MINISTRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "423-747-3803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCMHSP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "Hipa compliant documentation system.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1180 Bristol Hwy",
            "city": "Elizabethton",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376436684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Donald Frederick Thompson, M.D.
• John W Thurman, PH.D
• Cheryl Ann Timbs, LCSW
• Timothy Street
• Carly Morgan Tipton, DMD
• Lucas Andrew Tipton, DMD

• All providers in Elizabethton, TN
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.