Active NPI
Thrive Behavior Health and Counseling Center
- Case Management Agency
- Lanham, MD
National Provider Identifier
1336779560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- THRIVE BEHAVIOR HEALTH AND COUNSELING CENTER
- Practice address
- 9779 Good Luck Rd Apt 5
Lanham, MD 20706-3338 - Phone
- (240) 350-2863
- NPI assigned
- Jan 15, 2020
- Last updated
- Sep 28, 2020
- 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
- Wildine Burgess
- Title
- Program Director
- Phone
- (240) 350-2863
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary | |
| Recovery Care Clinic/Center | 261QR0800X | NU | ||
| Assisted Living Facility | 310400000X | NU | ||
| Substance Abuse Rehabilitation Facility | 324500000X | NU | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
9779 Good Luck Rd Apt 5
Lanham, MD 20706-3338
Mailing address
9779 Good Luck Rd Apt 5
Lanham, MD 20706-3338
Phone (240) 350-2863
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601251200000",
"number": "1336779560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9779 GOOD LUCK RD APT 5",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063338",
"telephone_number": "240-350-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9779 GOOD LUCK RD APT 5",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063338",
"telephone_number": "240-350-2863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE BEHAVIOR HEALTH AND COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-15",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "WILDINE",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "240-350-2863"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.