Organization Active NPI

Thrive Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
National Provider Identifier
1295233948
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THRIVE THERAPY LLC
Practice address
13000 Equity PL Ste 106
Louisville, KY 40223-3976
Phone
(502) 834-5777
NPI assigned
Jan 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Kristine M Johnson, M.DIVNPI 1851960967
Title
Owner
Phone
(502) 930-9252

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

13000 Equity PL Ste 106
Louisville, KY 40223-3976

Mailing address

13000 Equity PL Ste 106
Louisville, KY 40223-3976
Phone (502) 834-5777

Other identifiers 1

IdentifierTypeStateIssuer
1851960967OtherNPI

Other names 1

  • Thrive Therapy LLC Other name

National Provider Directory

National Provider Directory

Locations

13000 Equity Pl
Ste 106
Louisville, KY 40223
Phone (502) 341-2411

2501 Rudy Ln
Louisville, KY 40207

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": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1295233948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 EQUITY PL STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233976",
            "telephone_number": "502-834-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 EQUITY PL STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233976",
            "telephone_number": "502-834-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-930-9252",
        "authorized_official_credential": "M.DIV"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851960967",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Therapy LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.