Organization Active NPI

Thriving Lives Counseling Group

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1619669355
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THRIVING LIVES COUNSELING GROUP
Practice address
11249 Isle of Water Bridge 103
Orlando, FL 32837
Phone
(689) 270-4412
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Jessica Santos Valenzuela, LMHCNPI 1366929655
Title
MGR
Phone
(787) 960-5776

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11249 Isle of Water Bridge 103
Orlando, FL 32837

Mailing address

11310 S Orange Blossom Trail PMB # 131
Orlando, FL 32837-9421
Phone (689) 270-4412

National Provider Directory

National Provider Directory

Locations

11310 S Orange Blossom Trl
Orlando, FL 32837

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": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1619669355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 S ORANGE BLOSSOM TRAIL PMB # 131",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379421",
            "telephone_number": "689-270-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11249 ISLE OF WATER BRIDGE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32837",
            "telephone_number": "689-270-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING LIVES COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "SANTOS VALENZUELA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "787-960-5776",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.