Thrive Counseling and Consultation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THRIVE COUNSELING AND CONSULTATION

Practice address

2810 W Saint Isabel St Ste 201B
Tampa, FL 33607-6375

Phone

(813) 421-9940

Fax

(813) 422-7827

NPI assigned

Nov 12, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Demetrius Dijon WilliamsNPI 1366781015

Title

Owner

Phone

(813) 421-9940

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Demetrius Dijon Williams, LMHC

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1366781015

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1629546262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 E KIRBY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336043536",
            "telephone_number": "440-382-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST STE 201B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "813-421-9940",
            "fax_number": "813-422-7827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13902 N Dale Mabry Hwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182428",
            "country_code": "US",
            "telephone_number": "813-421-9940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_middle_name": "DIJON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-421-9940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tampa, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.