Active NPI
Specthrive Wellness & Behavioral Health LLC
- Professional Counselor
- Brooklyn Park, MN
National Provider Identifier
1508728486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SPECTHRIVE WELLNESS & BEHAVIORAL HEALTH LLC
- Practice address
- 7100 Northland Cir N Ste 104-H
Brooklyn Park, MN 55428-1548 - Phone
- (612) 208-6549
- NPI assigned
- Nov 29, 2025
- 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
- Nancy Nyabuti, MA
- Title
- Therapist/Counselor
- Phone
- (612) 807-0456
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
7100 Northland Cir N Ste 104-H
Brooklyn Park, MN 55428-1548
Mailing address
7960 Orchid LN N
Maple Grove, MN 55311-2186
Phone (612) 807-0456
National Provider Directory
National Provider DirectoryLocations
7100 Northland Cir N
Ste 104H
Brooklyn Park, MN 55428
Phone (612) 208-6549
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Maple Grove, MN
- NPI 1407677909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1508728486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7960 ORCHID LN N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553112186",
"telephone_number": "612-807-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 NORTHLAND CIR N STE 104-H",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554281548",
"telephone_number": "612-208-6549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTHRIVE WELLNESS & BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-29",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "NYABUTI",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "THERAPIST/COUNSELOR",
"authorized_official_telephone_number": "612-807-0456",
"authorized_official_credential": "MA"
},
"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 Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.