Active NPI
Thrive Emerge
- Community/Behavioral Health Agency
- Ellicott City, MD
National Provider Identifier
1821751140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THRIVE EMERGE
- Practice address
- 963 Oella Ave
Ellicott City, MD 21043-4703 - Phone
- (410) 740-3240
- Fax
- (443) 276-6640
- NPI assigned
- Oct 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rose Cohen
- Title
- Coo
- Phone
- (443) 622-1918
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
963 Oella Ave
Ellicott City, MD 21043-4703
Mailing address
6925 Oakland Mills Rd # 357
Columbia, MD 21045-4714
Phone (410) 740-3240
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063642437 | Other | MD | THERAPIST, LCSW-C |
| 1518168467 | Other | MD | THERAPIST, LCSW-C |
| 1063059392 | Other | MD | THERAPIST, LCPC |
| 1609390244 | Other | MD | THERAPIST, LCSW |
| 1851326383 | Other | MD | PSYCHIATRIST |
| 1225248636 | Other | MD | THERAPIST, LCPC |
| 1437766649 | Other | MD | THERAPIST, M.A, LMSW |
| 1629452909 | Other | MD | THERAPIST, LCPC |
| 1114559846 | Other | MD | PSYCHIATRIC NURSE PRACTITIONER, CRNP-PMH |
| 1770545303 | Other | MD | PSYCHOLOGIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Columbia |
National Provider Directory
National Provider DirectoryLocations
6925 Oakland Mills Rd
#357
Columbia, MD 21045
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Columbia, MD
- NPI 1851326383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634169600000",
"number": "1821751140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6925 OAKLAND MILLS RD # 357",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454714",
"telephone_number": "410-740-3240",
"fax_number": "443-276-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 OELLA AVE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434703",
"telephone_number": "410-740-3240",
"fax_number": "443-276-6640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE EMERGE",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-14",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "443-622-1918"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST, LCSW-C",
"identifier": "1063642437",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST, LCSW-C",
"identifier": "1518168467",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST, LCPC",
"identifier": "1063059392",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST, LCSW",
"identifier": "1609390244",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHIATRIST",
"identifier": "1851326383",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST, LCPC",
"identifier": "1225248636",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST, M.A, LMSW",
"identifier": "1437766649",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST, LCPC",
"identifier": "1629452909",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHIATRIC NURSE PRACTITIONER, CRNP-PMH",
"identifier": "1114559846",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST",
"identifier": "1770545303",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Columbia",
"affiliation": "N",
"address_1": "6925 Oakland Mills Rd. #357",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "21045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.