Organization Active NPI

Thrive Integrative Counseling LLC

  • Multi-Specialty Clinic/Center
  • Birmingham, MI
National Provider Identifier
1740879469
Registry record updated Oct 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THRIVE INTEGRATIVE COUNSELING LLC
Practice address
1025 E Maple Rd Ste B5
Birmingham, MI 48009-6462
Phone
(949) 836-2451
NPI assigned
Jan 17, 2021
Last updated
Oct 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2021

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

Authorized official

Name
Heidi DudgeonNPI 1336496975
Title
Owner
Phone
(949) 836-2451

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1025 E Maple Rd Ste B5
Birmingham, MI 48009-6462

Mailing address

1025 E Maple Rd Ste B5
Birmingham, MI 48009-6462

National Provider Directory

National Provider Directory

Locations

1025 E Maple Rd
Ste B5
Birmingham, MI 48009
Phone (949) 836-2451

Practitioners & affiliated clinicians

Practitioners 1

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": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634342400000",
    "number": "1740879469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E MAPLE RD STE B5",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E MAPLE RD STE B5",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096462",
            "telephone_number": "949-836-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE INTEGRATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A",
        "authorized_official_last_name": "DUDGEON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-836-2451"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; 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.