Organization Active NPI

Thrive Wellness Center, PLLC

  • Community/Behavioral Health Agency
  • Somerset, KY
National Provider Identifier
1336578426
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1671 Issued in KY
Legal business name
THRIVE WELLNESS CENTER, PLLC
Practice address
1112 S. Hwy. 27, Ste. D, Box #4
Somerset, KY 42501-3503
Phone
(606) 875-2125
Fax
(606) 451-9624
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Ms. Kelly Shea Mitchell, LPCC, NCC
Title
Counselor
Phone
(606) 875-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1671 KY Primary

Addresses

Primary practice location

1112 S. Hwy. 27, Ste. D, Box #4
Somerset, KY 42501-3503

Mailing address

PO Box 1693
Somerset, KY 42502-1693
Phone (606) 875-2125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1336578426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1693",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425021693",
            "telephone_number": "606-875-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S. HWY. 27, STE. D, BOX #4",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013503",
            "telephone_number": "606-875-2125",
            "fax_number": "606-451-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "606-875-2125",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "1671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.