Organization Active NPI

Thrivemindfulness LLC

  • Counselor
  • Salem, OR
National Provider Identifier
1285491258
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THRIVEMINDFULNESS LLC
Practice address
4913 49TH Ave NE
Salem, OR 97305-3370
Phone
(303) 960-1753
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Abduselam Mume
Title
Director
Phone
(303) 960-1753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

4913 49TH Ave NE
Salem, OR 97305-3370

Mailing address

4913 49TH Ave NE
Salem, OR 97305-3370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1285491258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 49TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973053370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 49TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973053370",
            "telephone_number": "303-960-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVEMINDFULNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "MUME",
        "authorized_official_first_name": "ABDUSELAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-960-1753"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.