Thrive Therapy & Wellness, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THRIVE THERAPY & WELLNESS, PC

Practice address

121 N Mitchell St
Cadillac, MI 49601-1879

Phone

(989) 202-2803

NPI assigned

Oct 4, 2021

Last updated

Nov 9, 2023By 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

Colette Irene Gomez, LMSWNPI 1265881064

Title

Owner

Phone

(989) 202-2803

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Colette Gomez, LMSW

  • Clinical Social Worker
  • Cadillac, MI
  • NPI 1265881064
  Medicare reassignment NPD Authorized official
• Holly Jean Harris, LMSW

  • Clinical Social Worker
  • Saint Helen, MI
  • NPI 1427113778
  NPD (past)

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1356013783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496010595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MITCHELL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011879",
            "telephone_number": "989-202-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE THERAPY & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-202-2803",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nathan Marcus Thomsen
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• Jon William Toepler, D.D.S.
• Township of Cherry Grove (Cherry Grove Fire Department)
• Township of Selma (Selma Township Fire Department)

• Clinical Social Worker in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.