Individual provider Active NPI

Vanessa Degrave

  • Professional Counselor
  • Mooresville, NC
National Provider Identifier
1639954100
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A19147 Issued in NC
Practice address
Thrive Counseling and Wellness
311 Williamson Rd # 103
Mooresville, NC 28117
Phone
(704) 360-3049
NPI assigned
Aug 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X A19147 NC Primary

Addresses

Primary practice location

Thrive Counseling and Wellness
311 Williamson Rd # 103
Mooresville, NC 28117

Mailing address

890 Bear Poplar Rd
Cleveland, NC 27013-9428
Phone (980) 447-7109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A19147NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Horizons Counseling PLLC Current Accepting new patients
Thrive Counseling and Wellness, PLLC Professional CurrentSince Sep 5, 2023 Accepting new patients

Locations

11711 Statesville Blvd
Cleveland, NC 27013
Phone (704) 209-7493

311 Williamson Rd
Ste 103
Mooresville, NC 28117
Phone (704) 360-3049

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1639954100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 BEAR POPLAR RD",
            "city": "CLEVELAND",
            "state": "NC",
            "postal_code": "270139428",
            "telephone_number": "980-447-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THRIVE COUNSELING AND WELLNESS",
            "address_2": "311 WILLIAMSON RD # 103",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-360-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAVE",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A19147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.