Active NPI
Thriveworks Telepsychiatry - Arkansas
- Mental Health Counselor
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THRIVEWORKS TELEPSYCHIATRY - ARKANSAS
- Practice address
- 300 N College Ave Ste 305
Fayetteville, AR 72701-4381 - Phone
- (855) 284-7483
- NPI assigned
- Dec 3, 2021
- Last updated
- Feb 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Centore
- Title
- Ceo
- Phone
- (540) 217-6461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
300 N College Ave Ste 305
Fayetteville, AR 72701-4381
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
Other practice location 1
1814 Executive Sq
Jonesboro, AR 72401-6085
Phone (855) 284-7483
Other practice location 2
102 Country Club Pkwy Ste A
Maumelle, AR 72113-7048
Phone (855) 284-7483
Other practice location 3
685 Shelby Trl Ste 105
Conway, AR 72034-7169
Phone (855) 284-7483
Other practice location 4
809 SW I St Ste 23
Bentonville, AR 72712-6240
Phone (855) 284-7483
Other practice location 5
4704 W Commercial Dr Ste A
North Little Rock, AR 72116-8040
Phone (855) 284-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
809 SW I St
Ste 23
Bentonville, AR 72712
Phone (603) 356-4949
685 Shelby Trl
Ste 105
Conway, AR 72034
Phone (501) 406-0504
102 Country Club Pkwy
Ste A
Maumelle, AR 72113
Phone (501) 628-9066
Practitioners & affiliated clinicians
Practitioners 46
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Little Rock, AR
- NPI 1396224002
-
- Psychiatric/Mental Health Nurse Practitioner
- Springdale, AR
- NPI 1811476146
-
- Psychiatric/Mental Health Nurse Practitioner
- De Queen, AR
- NPI 1790039162
-
- Psychiatric/Mental Health Nurse Practitioner
- Helena, AR
- NPI 1790368801
-
- Clinical Social Worker
- Fayetteville, AR
- NPI 1609541606
-
- Clinical Social Worker
- Little Rock, AR
- NPI 1629238209
-
- Clinical Social Worker
- Fayetteville, AR
- NPI 1902322845
-
- Social Worker
- Sheridan, AR
- NPI 1346501624
-
- Clinical Social Worker
- Jonesboro, AR
- NPI 1982623609
-
- Clinical Social Worker
- Little Rock, AR
- NPI 1962855676
-
- Professional Counselor
- Conway, AR
- NPI 1952425720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1669130928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465",
"telephone_number": "855-284-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N COLLEGE AVE STE 305",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727014381",
"telephone_number": "855-284-7483"
}
],
"practiceLocations": [
{
"address_1": "1814 Executive Sq",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724016085",
"country_code": "US",
"telephone_number": "855-284-7483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Country Club Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Maumelle",
"state": "AR",
"postal_code": "721137048",
"country_code": "US",
"telephone_number": "855-284-7483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "685 Shelby Trl Ste 105",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "AR",
"postal_code": "720347169",
"country_code": "US",
"telephone_number": "855-284-7483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "809 SW I St Ste 23",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727126240",
"country_code": "US",
"telephone_number": "855-284-7483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4704 W Commercial Dr Ste A",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721168040",
"country_code": "US",
"telephone_number": "855-284-7483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THRIVEWORKS TELEPSYCHIATRY - ARKANSAS",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-03",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "CENTORE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "540-217-6461"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.