Organization Active NPI

Thrive Emerge

  • Community/Behavioral Health Agency
  • Ellicott City, MD
National Provider Identifier
1821751140
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Oct 14, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1063642437OtherMDTHERAPIST, LCSW-C
1518168467OtherMDTHERAPIST, LCSW-C
1063059392OtherMDTHERAPIST, LCPC
1609390244OtherMDTHERAPIST, LCSW
1851326383OtherMDPSYCHIATRIST
1225248636OtherMDTHERAPIST, LCPC
1437766649OtherMDTHERAPIST, M.A, LMSW
1629452909OtherMDTHERAPIST, LCPC
1114559846OtherMDPSYCHIATRIC NURSE PRACTITIONER, CRNP-PMH
1770545303OtherMDPSYCHOLOGIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Columbia

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.