Organization Active NPI

Flying Pigs Thrive Therapy PLLC

  • Marriage & Family Therapist
  • Warrenville, IL
National Provider Identifier
1760148852
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FLYING PIGS THRIVE THERAPY PLLC
Practice address
30605 McCormick LN
Warrenville, IL 60555-3963
Phone
(224) 622-3259
NPI assigned
Nov 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Trude HolliNPI 1437163342
Title
Owner
Phone
(224) 622-3259

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

30605 McCormick LN
Warrenville, IL 60555-3963

Mailing address

3S101 Rockwell St Unit 1331
Warrenville, IL 60555-3053
Phone (224) 622-3259

National Provider Directory

National Provider Directory

Locations

3S101 Rockwell St
Unit 1331
Warrenville, IL 60555

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": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1760148852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3S101 ROCKWELL ST UNIT 1331",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553053",
            "telephone_number": "224-622-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30605 MCCORMICK LN",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553963",
            "telephone_number": "224-622-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYING PIGS THRIVE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "HOLLI",
        "authorized_official_first_name": "TRUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-622-3259"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.