Organization Active NPI

Acacia Thrive

  • Adolescent and Children Mental Health Clinic/Center
  • Jacksonville, NC
National Provider Identifier
1275447401
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ACACIA THRIVE
Practice address
201 New Bridge St # 105
Jacksonville, NC 28540-4736
Phone
(330) 322-1757
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Raniece V Kirklin
Title
Administrator
Phone
(330) 322-1757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

201 New Bridge St # 105
Jacksonville, NC 28540-4736

Mailing address

1001 Churchill Way Apt 1E
Midway Park, NC 28544-1281
Phone (330) 322-1757

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1275447401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CHURCHILL WAY APT 1E",
            "city": "MIDWAY PARK",
            "state": "NC",
            "postal_code": "285441281",
            "telephone_number": "330-322-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NEW BRIDGE ST # 105",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404736",
            "telephone_number": "330-322-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA THRIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "KIRKLIN",
        "authorized_official_first_name": "RANIECE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-322-1757"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.