Thriveworks Clinical - Alaska LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THRIVEWORKS CLINICAL - ALASKA LLC

Doing business as

Thriveworks

Practice address

670 W Fireweed LN Ste 100
Anchorage, AK 99503-2562

Phone

(855) 284-7483

NPI assigned

Oct 25, 2022

Last updated

Oct 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Centore, CEO

Title

Ceo

Phone

(540) 217-6461

Specialties & licenses 1

Addresses

Other names 1

• Thriveworks Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cecilie Dawn Cody, MAAT, LPC

  • Professional Counselor
  • Ketchikan, AK
  • NPI 1407066749
  Medicare reassignment Care Compare group NPD
• Laurie E Hoyt-Jones, LCSW.,LPN

  • Clinical Social Worker
  • Jber, AK
  • NPI 1013145333
  Medicare reassignment Care Compare group NPD
• Paul Gaines Jr., MSW, LICSW, M.ED.

  • Clinical Social Worker
  • Anchorage, AK
  • NPI 1235575762
  Medicare reassignment NPD
• Jennifer L Morton, M.A., LPC

  • Professional Counselor
  • Nome, AK
  • NPI 1003218538
  Medicare reassignment NPD
• Santresda Johnson, LPC

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1306410246

  AK

  Medicare reassignment
• June A. Ober, LCSW

  • Clinical Social Worker
  • Anchorage, AK
  • NPI 1326076597
  NPD
• Heidi K Faust, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1669705901
  NPD (past)

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1295452845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W FIREWEED LN STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032562",
            "telephone_number": "855-284-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVEWORKS CLINICAL - ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "CENTORE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-217-6461",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriveworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron M Thrasher, MHS, PA-C
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• Thrive Care Services LLC
• Thrive Integrative Medicine
• Thrive Integrative Medicine
• Thriving Within, LLC
• Michael Benjamin Thruangsnga-Kent, PA-C
• Nicolette Thude, ANP
• Thunderbird Group LLC
• Alissa Thurman

• Mental Health Clinic/Center (Including Community Mental Health Center) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.