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

Last updated

Feb 11, 2025By 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

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, and the practitioner matching its NPPES authorized official.

• 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": "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": "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"
        },
        {
            "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": "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"
        }
    ],
    "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.