Active NPI
Thrive Mental Health Services
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
National Provider Identifier
1366250029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- THRIVE MENTAL HEALTH SERVICES
- Practice address
- 555 Belaire Ave
Ste 210 #2013
Chesapeake, VA 23320-4783 - Phone
- (757) 239-5090
- Fax
- (757) 239-5411
- NPI assigned
- Dec 26, 2024
- 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
- Gloria Egbuniwe
- Title
- Owner
- Phone
- (757) 513-4665
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
555 Belaire Ave
Ste 210 #2013
Chesapeake, VA 23320-4783
Mailing address
555 Belaire Ave
Ste 210 #2013
Chesapeake, VA 23320-4783
Phone (757) 239-5090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Suffolk, VA
- NPI 1912572009
-
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
- NPI 1629757240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1366250029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BELAIRE AVE",
"address_2": "STE 210 #2013",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204783",
"telephone_number": "757-239-5090",
"fax_number": "757-239-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BELAIRE AVE",
"address_2": "STE 210 #2013",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204783",
"telephone_number": "757-239-5090",
"fax_number": "757-239-5411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE MENTAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-26",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "EGBUNIWE",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-513-4665"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.