Thrive Therapy and Integrated Wellness, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

THRIVE THERAPY AND INTEGRATED WELLNESS, LLC

Practice address

2420 N Coliseum Blvd Ste 206
Fort Wayne, IN 46805-3139

Phone

(260) 223-4613

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Megan Kostrubanic, MS, ICAC, MACNPI 1144600982

Title

Owner / Therapist

Phone

(260) 223-4613

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Megan Kostrubanic, MS, MAC

  • Counselor
  • Fort Wayne, IN
  • NPI 1144600982
  NPD (past) Authorized official

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1730698598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 WELSHIRE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158703",
            "telephone_number": "260-223-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N COLISEUM BLVD STE 206",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053139",
            "telephone_number": "260-223-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE THERAPY AND INTEGRATED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "KOSTRUBANIC",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "260-223-4613",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, ICAC, MAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Three Rivers Radiology, LLC
• Three Rivers Surgical Associates
• Three Rivers Surgical Associates, LLC
• Three Rivers Therapy LLC
• Threelovebugs, LLC
• Ashley Thrush
• Morgan Thrush
• Lynette M Thuma, MD
• Udaykanth Thumma
• Craig Thurber

• Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.