Thriving Minds Wellness Collective

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THRIVING MINDS WELLNESS COLLECTIVE

Practice address

1825 Riverview Dr
Melbourne, FL 32901-4711

Phone

(302) 319-3806

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Nickom Thipsingh

Title

Owner/President/Ceo

Phone

(302) 319-3806

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1659158632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 5811",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 RIVERVIEW DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014711",
            "telephone_number": "302-319-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING MINDS WELLNESS COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "THIPSINGH",
        "authorized_official_first_name": "NICKOM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "302-319-3806"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Thornton, MD,FCCP
• Sarah Rauth Thornton, PHARM.D.
• Linda Thorpe, CRNA
• Thrifty Discount Pharmacy LLC
• Thrive Align LLC
• Aimee Lynn Tieu, MD
• Kenneth K Tieu, M.D.
• Yaphet Tilahun, M.D.
• Alycia Tillman, M.S. CCC-SLP
• Deborah Timm

• Clinical Social Worker in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.