NPIMap

Organization Active NPI

Thriving Health Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Eagan, MN
National Provider Identifier
1689409674
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
THRIVING HEALTH CENTER LLC
Practice address
1875 Plaza Dr Ste 17
Eagan, MN 55122-2613
Phone
(612) 716-8019
NPI assigned
Sep 7, 2024
Last updated
Sep 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Authorized official

Name
Hussein Hassan
Title
Owner
Phone
(612) 716-8019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1875 Plaza Dr Ste 17
Eagan, MN 55122-2613

Mailing address

1875 Plaza Dr Ste 17
Eagan, MN 55122-2613

National Provider Directory

National Provider Directory

Locations

1875 Plaza Dr
Ste 17
Eagan, MN 55122
Phone (612) 716-8019

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725667200000",
    "number": "1689409674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 PLAZA DR STE 17",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 PLAZA DR STE 17",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222613",
            "telephone_number": "612-716-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-716-8019"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.