Organization Active NPI

Thriveworks Clinical - Oregon LLC

Doing business as Thriveworks

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1447926928
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THRIVEWORKS CLINICAL - OREGON LLC
Doing business as
Thriveworks
Practice address
1144 Madison St NE Ste F
Salem, OR 97301-7861
Phone
(855) 284-7483
Fax
(617) 807-0958
NPI assigned
Aug 17, 2021
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Anthony Centore
Title
Ceo
Phone
(540) 217-6461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1144 Madison St NE Ste F
Salem, OR 97301-7861

Mailing address

PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483

Other practice location 1

300 SE Reed Market Rd Ste 140
Bend, OR 97702-3815
Phone (855) 284-7483

Other practice location 2

1165 Pearl St Ste 5
Eugene, OR 97401-3521
Phone (855) 284-7483

Other practice location 3

9735 SW Shady Ln Ste 304
Tigard, OR 97223-5481
Phone (855) 284-7483

Other practice location 4

216 E Main St Ste 201
Medford, OR 97501-6029
Phone (855) 284-7483

Other practice location 5

1217 NE Burnside Rd Ste 503C
Gresham, OR 97030-5770
Phone (855) 284-7483

Other names 1

  • Thriveworks Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220829002616 OR Part B Supplier - Clinic/Group Practice 1254715006 Receives reassigned benefits from 17 practitioners
Practice locations: Tigard, OR

National Provider Directory

National Provider Directory

Locations

300 SE Reed Market Rd
Ste 140
Bend, OR 97702

1165 Pearl St
Ste 5
Eugene, OR 97401

1217 NE Burnside Rd
Ste 503C
Gresham, OR 97030
Phone (971) 888-2014

1144 Madison St NE
Ste F
Salem, OR 97301
Phone (571) 554-1147

9735 SW Shady Ln
Ste 304
Tigard, OR 97223
Phone (503) 204-0682

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1447926928",
    "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": "1144 MADISON ST NE STE F",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017861",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 SE Reed Market Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023815",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1165 Pearl St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013521",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9735 SW Shady Ln Ste 304",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972235481",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 E Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975016029",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1217 NE Burnside Rd Ste 503C",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970305770",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVEWORKS CLINICAL - OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "CENTORE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-217-6461"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriveworks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thriveworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • 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.