Thrive Therapeutic Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THRIVE THERAPEUTIC SERVICES, LLC

Practice address

620 Civic Heights Dr
Circle Pines, MN 55014-4711

Phone

(763) 248-0352

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Kelly LemmNPI 1417673682

Title

Owner

Phone

(612) 501-5242

Specialties & licenses 2

Addresses

Locations

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.

• Kelly Lemm

  • Clinical Social Worker
  • Anoka, MN
  • NPI 1417673682
  NPD Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1811699176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CIVIC HEIGHTS DR",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550144711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CIVIC HEIGHTS DR",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550144711",
            "telephone_number": "763-248-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "LEMM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-501-5242"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori June Lynner Tessier
• April Gaokalia Thao, PHARMD
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• Thomas Arthur Thornquist, D.C.
• Michael Lloyd Tomten
• Thi Nga Thi Tran
• Alexis Vugteveen
• Walgreen Co (Walgreens #03293)
• Sarah Walker

• Mental Health Counselor in Circle Pines, MN
• Providers in Circle Pines, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.