NPIMap

Organization Active NPI

Thrive Life Advancement Ministries Inc

  • Professional Counselor
  • Elizabethton, TN
National Provider Identifier
1194462200
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Mr. Lincoln Shelton, LPCMHSPNPI 1609514009
Title
Ceo/Founder
Phone
(423) 747-3803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1180 Bristol Hwy
Elizabethton, TN 37643-6684

Mailing address

PO Box 1053
Jonesborough, TN 37659-2053
Phone (423) 747-3803

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Theranest Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_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": []
}

Other providers in Elizabethton, TN

Sources for this page

  • 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.