Active NPI
Acacia Thrive
- Adolescent and Children Mental Health Clinic/Center
- Jacksonville, NC
National Provider Identifier
1275447401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.