NPIMap

Organization Active NPI

Thrive Wellness Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Andover, MA
National Provider Identifier
1659845303
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THRIVE WELLNESS COUNSELING, LLC
Practice address
4 High St Ste 205
North Andover, MA 01845-2620
Phone
(978) 291-8243
Fax
(978) 674-5623
NPI assigned
Jan 16, 2019
Last updated
Jan 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Kayla Doherty, LICSWNPI 1659781144
Title
Owner
Phone
(978) 291-8243

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4 High St Ste 205
North Andover, MA 01845-2620

Mailing address

4 High St Ste 205
North Andover, MA 01845-2620
Phone (978) 291-8243

Other practice location 1

417 Canal St
Lawrence, MA 01840-1201
Phone (978) 291-8243

National Provider Directory

National Provider Directory

Locations

417 Canal St
Lawrence, MA 01840
Phone (978) 291-8243

4 High St
Ste 205
North Andover, MA 01845
Phone (978) 291-8243

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1659845303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HIGH ST STE 205",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452620",
            "telephone_number": "978-291-8243",
            "fax_number": "978-674-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HIGH ST STE 205",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452620",
            "telephone_number": "978-291-8243",
            "fax_number": "978-674-5623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Canal St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018401201",
            "country_code": "US",
            "telephone_number": "978-291-8243",
            "fax_number": "978-674-5623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE WELLNESS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-291-8243",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.