NPIMap

Organization Active NPI

Therathrive LLC

  • Adult Mental Health Clinic/Center
  • Mansfield, TX
National Provider Identifier
1790335271
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THERATHRIVE LLC
Practice address
601 Strada Cir Ste 102
Mansfield, TX 76063-3219
Phone
(817) 899-5904
NPI assigned
Sep 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Suzanne Benites, LCSWNPI 1851870034
Title
Member/Manager
Phone
(817) 899-5904

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
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

601 Strada Cir Ste 102
Mansfield, TX 76063-3219

Mailing address

1516 Hampton Dr
Mansfield, TX 76063-7915
Phone (817) 899-5904

Other practice location 1

1751 River Run Ste 200
Fort Worth, TX 76107-6670
Phone (817) 899-5904

National Provider Directory

National Provider Directory

Locations

601 Strada Cir
Ste 102
Mansfield, TX 76063
Phone (817) 899-5904

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": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1790335271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 HAMPTON DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637915",
            "telephone_number": "817-899-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STRADA CIR STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633219",
            "telephone_number": "817-899-5904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 River Run Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761076670",
            "country_code": "US",
            "telephone_number": "817-899-5904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERATHRIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "BENITES",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "817-899-5904",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.