T.H.R.I.V.E Counseling and Wellness Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

T.H.R.I.V.E COUNSELING AND WELLNESS SERVICES LLC

Practice address

3200 Old Winter Garden Rd Apt 1822
Ocoee, FL 34761-4539

Phone

(216) 390-1044

NPI assigned

Jan 30, 2023

Last updated

Jun 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nichole R McKenzie, LMCHNPI 1083160337

Title

Owner

Phone

(407) 476-8877

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Nichole McKenzie

  • Mental Health Counselor
  • Ocoee, FL
  • NPI 1083160337
  NPD Authorized official

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1245946672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2582 MAGUIRE RD # 131",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614749",
            "telephone_number": "407-476-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 OLD WINTER GARDEN RD APT 1822",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614539",
            "telephone_number": "216-390-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.H.R.I.V.E COUNSELING AND WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-476-8877",
        "authorized_official_credential": "LMCH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083160337",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.