Thriving Minds Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THRIVING MINDS THERAPY LLC

Practice address

29 Northumberland Dr
Eastampton, NJ 08060-3298

Phone

(609) 510-1012

NPI assigned

Jun 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ray Fearon Jr., PSY DNPI 1447819610

Title

Owner

Phone

(609) 510-1012

Specialties & licenses 1

Addresses

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.

• Ray Fearon

  • Mental Health Counselor
  • Eastampton, NJ
  • NPI 1447819610
  NPD Authorized official

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1508597774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTHUMBERLAND DR",
            "city": "EASTAMPTON",
            "state": "NJ",
            "postal_code": "080603298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTHUMBERLAND DR",
            "city": "EASTAMPTON",
            "state": "NJ",
            "postal_code": "080603298",
            "telephone_number": "609-510-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING MINDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "FEARON",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-510-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Anne Schields
• Scudder Chiropractic & Wellness Centers, PC (Eastampton Chiropractic Center)
• Scott Jonathan Scudder, DC
• Kimberly Danielle Snell, LPN
• Abigail Lynn Stottlemire
• Celeste Antonia Tracey
• Lezley Turnbull
• Turning Point Health Care Services
• Yang Yang, ACUPUNCTURIST
• John Michael Yanoschak I, BS PHARM, MBA, RPH

• Professional Counselor in Eastampton, NJ
• Providers in Eastampton, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.