Thriveworks Clinical - Florida Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THRIVEWORKS CLINICAL - FLORIDA INC

Practice address

2425 E Commercial Blvd Ste 405
Fort Lauderdale, FL 33308-4029

Phone

(754) 400-5514

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Nathan M Miller

Title

Owner

Phone

(540) 217-6461

Specialties & licenses 1

Addresses

Other names 1

• Thriveworks Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 184

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

• Kevin Atwell, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1528674603
  Medicare reassignment Care Compare group NPD
• Jermilla Augustin, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tamarac, FL
  • NPI 1811566581
  Medicare reassignment Care Compare group NPD
• Melanie S Bartholomew, LMHC

  • Mental Health Counselor
  • Orange Park, FL
  • NPI 1982379236
  Medicare reassignment Care Compare group NPD
• Rosalie Beauchamp

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1548921430

  Mental Health

  Medicare reassignment Care Compare group NPD
• Jaclyn Bencivenga

  • Mental Health Counselor
  • Venice, FL
  • NPI 1528507126
  Medicare reassignment Care Compare group NPD
• Candace Bennett, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
  • NPI 1629798004
  Medicare reassignment Care Compare group NPD
• Samantha Bickram, L.M.F.T.

  • Marriage & Family Therapist
  • Pembroke Pines, FL
  • NPI 1174254221

  Mental Health

  Medicare reassignment Care Compare group NPD
• Danielle Bishop, LMHC, NCC

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1992349179
  Medicare reassignment Care Compare group NPD
• Rachel Block-Stewart, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1013303965
  Medicare reassignment Care Compare group NPD
• Iriny Boules

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1346743846
  Medicare reassignment Care Compare group NPD
• Catherine Bukovitz, LMHC

  • Mental Health Counselor
  • Port Charlotte, FL
  • NPI 1881977106
  Medicare reassignment Care Compare group NPD
• Brett Ryan Burlone, LMHC, MS

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1366882904
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1396360996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E COMMERCIAL BLVD STE 405",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084029",
            "telephone_number": "754-400-5514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2924 Davie Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333141615",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4070 Herschel St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322102239",
            "country_code": "US",
            "telephone_number": "904-567-7203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Westhall Ln Ste 118",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517451",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4243 Sunbeam Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322578975",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4210 NW 37th Pl Ste 700",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326067702",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 Metrowest Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353291",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2852 Remington Green Cir Ste 203",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323081507",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7999 N Federal Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334871673",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7593 W Boynton Beach Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334376161",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Lincoln Ave Ste 24",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337565964",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10100 W Sample Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330653975",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Belvedere Rd Ste S204",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334061541",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4115 W Spruce St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336072485",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVEWORKS CLINICAL - FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-217-6461"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriveworks",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Thriveworks",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Thyme and Company Counseling, LLC
• Amanda Tibbetts, PT
• Kathleen M Ticich, DMD
• Jennifer Tiech, LMHC
• Sean M Tierney, DO

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.