Active NPI
Thrive Wellness Center, PLLC
- Community/Behavioral Health Agency
- Somerset, KY
National Provider Identifier
1336578426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1671
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.