Organization Active NPI

Thrive Wellness Center, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1780411512
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THRIVE WELLNESS CENTER, LLC
Practice address
3013 N Rancho Dr Ste 128
Las Vegas, NV 89130-3349
Phone
(702) 490-9979
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Kenyatta Fletcher
Title
Administrator
Phone
(702) 408-9071

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3013 N Rancho Dr Ste 128
Las Vegas, NV 89130-3349

Mailing address

3013 N Rancho Dr Ste 128
Las Vegas, NV 89130-3349
Phone (702) 490-9979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1780411512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 N RANCHO DR STE 128",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303349",
            "telephone_number": "702-490-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 N RANCHO DR STE 128",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303349",
            "telephone_number": "702-490-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "KENYATTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-408-9071"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.