NPIMap

Organization Active NPI

Thrive Developmental Partners of Arkansas, Inc.

  • Specialist
  • Portia, AR
National Provider Identifier
1215913017
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THRIVE DEVELOPMENTAL PARTNERS OF ARKANSAS, INC.
Practice address
208 S. Lawrence Ext. Street
Portia, AR 72457-0016
Phone
(870) 886-7083
Fax
(870) 886-2611
NPI assigned
Dec 22, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Lisa Ann Williams, DIRECTOR
Title
Director
Phone
(870) 886-7083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AR Primary

Addresses

Primary practice location

208 S. Lawrence Ext. Street
Portia, AR 72457-0016

Mailing address

PO Box 16
Portia, AR 72457-0016
Phone (870) 886-7083

Other identifiers 9

IdentifierTypeStateIssuer
125981767MedicaidAR
146080778MedicaidAR
114248715MedicaidAR
132375774MedicaidAR
103152724MedicaidAR
132620786MedicaidAR
320255771MedicaidAR
131867782MedicaidAR
121126732MedicaidAR

Other names 1

  • Lawrence County Cooperative School, Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215913017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16",
            "city": "PORTIA",
            "state": "AR",
            "postal_code": "724570016",
            "telephone_number": "870-886-7083",
            "fax_number": "870-886-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S. LAWRENCE EXT. STREET",
            "city": "PORTIA",
            "state": "AR",
            "postal_code": "724570016",
            "telephone_number": "870-886-7083",
            "fax_number": "870-886-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE DEVELOPMENTAL PARTNERS OF ARKANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-09-11",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-886-7083",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125981767",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146080778",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114248715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132375774",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103152724",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132620786",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320255771",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131867782",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121126732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence County Cooperative School, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Sources for this page

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