Organization Active NPI

Lets Thrive Counseling

  • Clinical Social Worker
  • Tinley Park, IL
National Provider Identifier
1356913388
Registry record updated Oct 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LETS THRIVE COUNSELING
Practice address
16335 Harlem Ave
Tinley Park, IL 60477-2574
Phone
(708) 752-0115
NPI assigned
Jul 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2021

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

Authorized official

Name
Mrs. Kimberly Laurin, LCSWNPI 1417385469
Title
Therapist
Phone
(708) 770-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

16335 Harlem Ave
Tinley Park, IL 60477-2574

Mailing address

16335 Harlem Ave Ste 406
Tinley Park, IL 60477-2678
Phone (708) 770-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211104003076 IL Part B Supplier - Clinic/Group Practice 4789073198 Receives reassigned benefits from 1 practitioner
Practice locations: Tinley Park, IL

National Provider Directory

National Provider Directory

Locations

16335 Harlem Ave
Tinley Park, IL 60477
Phone (708) 598-8723

16335 Harlem Ave
Ste 406
Tinley Park, IL 60477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635033600000",
    "number": "1356913388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16335 HARLEM AVE STE 406",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772678",
            "telephone_number": "708-770-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16335 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772574",
            "telephone_number": "708-752-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETS THRIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A",
        "authorized_official_last_name": "LAURIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "708-770-2777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; 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.