Organization Active NPI

Thrive Mind Therapies LLC

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1679210322
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THRIVE MIND THERAPIES LLC
Practice address
5725 Dragon Way Ste 206
Cincinnati, OH 45227-4593
Phone
(502) 851-5132
NPI assigned
May 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Authorized official

Name
Ms. Courtney Nicole Gardner, LISWNPI 1356832497
Title
Owner/Lisw
Phone
(502) 851-5132

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5725 Dragon Way Ste 206
Cincinnati, OH 45227-4593

Mailing address

2116 Fulton Ave Apt 18
Cincinnati, OH 45206-2563
Phone (502) 851-5132

Other identifiers 1

IdentifierTypeStateIssuer
1356832497OtherNPI INDIVIDUAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thrivemindtherapies@protonmail.com

National Provider Directory

National Provider Directory

Locations

5725 Dragon Way
Ste 206
Cincinnati, OH 45227
Phone (502) 851-5132

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1652572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1679210322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 FULTON AVE APT 18",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062563",
            "telephone_number": "502-851-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 DRAGON WAY STE 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452274593",
            "telephone_number": "502-851-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE MIND THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/LISW",
        "authorized_official_telephone_number": "502-851-5132",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1356832497",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thrivemindtherapies@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "address_1": "5725 Dragon Way Ste 206",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452274593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.