Active NPI
Thriving Life Therapy Services, LLC
- Mental Health Counselor
- Kearney, NE
National Provider Identifier
1457987315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THRIVING LIFE THERAPY SERVICES, LLC
- Practice address
- 2303 13TH Ave
Kearney, NE 68845-5032 - Phone
- (308) 708-1031
- NPI assigned
- Mar 22, 2020
- Last updated
- Jan 6, 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
- Lindsey Rae Wright, LIMHP, MSED
- Title
- Mental Health Practitioner
- Phone
- (308) 244-4131
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2303 13TH Ave
Kearney, NE 68845-5032
Mailing address
1704 E 46TH Street PL
Kearney, NE 68847-2696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Kearney, NE
- NPI 1942620323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704499200000",
"number": "1457987315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 E 46TH STREET PL",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 13TH AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688455032",
"telephone_number": "308-708-1031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVING LIFE THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-22",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "LINDSEY",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "MENTAL HEALTH PRACTITIONER",
"authorized_official_telephone_number": "308-244-4131",
"authorized_official_credential": "LIMHP, MSED"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; 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.