Organization Active NPI

Thrive Integrative Inc.

  • Professional Counselor
  • Lynwood, IL
National Provider Identifier
1457150450
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THRIVE INTEGRATIVE INC.
Practice address
20109 Driftwood Ave
Lynwood, IL 60411-6812
Phone
(773) 931-1769
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Olamide Tunde-Ali, LCPCNPI 1578362570
Title
Owner
Phone
(773) 931-1769

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

20109 Driftwood Ave
Lynwood, IL 60411-6812

Mailing address

20109 Driftwood Ave
Lynwood, IL 60411-6812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250709001186 IL Part B Supplier - Clinic/Group Practice 7416461793 Receives reassigned benefits from 3 practitioners
Practice locations: Tinley Park, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1457150450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20109 DRIFTWOOD AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604116812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20109 DRIFTWOOD AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604116812",
            "telephone_number": "773-931-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE INTEGRATIVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "TUNDE-ALI",
        "authorized_official_first_name": "OLAMIDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-931-1769",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.