Organization Active NPI

Thrive Trauma Therapy PLLC

  • Clinical Social Worker
  • Plainwell, MI
National Provider Identifier
1255186284
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THRIVE TRAUMA THERAPY PLLC
Practice address
319 Park St
Plainwell, MI 49080-1655
Phone
(269) 355-8045
Fax
(855) 632-2869
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Jeanette KievitNPI 1740861178
Title
LMSW-C/Therapist
Phone
(269) 355-8045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

319 Park St
Plainwell, MI 49080-1655

Mailing address

319 Park St
Plainwell, MI 49080-1655
Phone (269) 355-8045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905001600 MI Part B Supplier - Clinic/Group Practice 8921548959 Receives reassigned benefits from 1 practitioner
Practice locations: Otsego, MI

National Provider Directory

National Provider Directory

Locations

132 W Allegan St
Otsego, MI 49078
Phone (269) 283-0074

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1255186284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 PARK ST",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801655",
            "telephone_number": "269-355-8045",
            "fax_number": "855-632-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 PARK ST",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801655",
            "telephone_number": "269-355-8045",
            "fax_number": "855-632-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE TRAUMA THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "KIEVIT",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "LMSW-C/THERAPIST",
        "authorized_official_telephone_number": "269-355-8045"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainwell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.