Organization Active NPI

Thrive Counseling and Mediation Practice, LLC

  • Mental Health Counselor
  • Klamath Falls, OR
National Provider Identifier
1568120012
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THRIVE COUNSELING AND MEDIATION PRACTICE, LLC
Practice address
905 Main St Ste 210
Klamath Falls, OR 97601-6066
Phone
(541) 591-1946
NPI assigned
Dec 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Angie Salzwedel-KempNPI 1649747098
Title
Registered Agent
Phone
(541) 591-1946

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

905 Main St Ste 210
Klamath Falls, OR 97601-6066

Mailing address

517 N Laguna St
Klamath Falls, OR 97601-2349
Phone (541) 591-1946

National Provider Directory

National Provider Directory

Locations

905 Main St
Ste 607
Klamath Falls, OR 97601
Phone (541) 229-5239

905 Main St
Ste 210
Klamath Falls, OR 97601
Phone (541) 591-1946

Practitioners & affiliated clinicians

Practitioners 1

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": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1568120012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N LAGUNA ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012349",
            "telephone_number": "541-591-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST STE 210",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016066",
            "telephone_number": "541-591-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE COUNSELING AND MEDIATION PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "SALZWEDEL-KEMP",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "541-591-1946"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.