Organization Active NPI

Thrive Teen Therapy Licensed Clinical Social Worker Apc

  • Mental Health Counselor
  • Tracy, CA
National Provider Identifier
1831072180
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THRIVE TEEN THERAPY LICENSED CLINICAL SOCIAL WORKER APC
Practice address
68 E 11TH St Ste 107
Tracy, CA 95376-4088
Phone
(650) 660-9660
Fax
(209) 975-5029
NPI assigned
Jul 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Nicole Dhamnaskar, LCSWNPI 1902087364
Title
Founder and Clinician
Phone
(650) 660-9660

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

68 E 11TH St Ste 107
Tracy, CA 95376-4088

Mailing address

68 E 11TH St Ste 107
Tracy, CA 95376-4088
Phone (650) 660-9660

Other names 1

  • Empower Youth Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

35 E 10th St
Tracy, CA 95376
Phone (209) 830-1156

68 E 11th St
Ste 107
Tracy, CA 95376

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": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1831072180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 E 11TH ST STE 107",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764088",
            "telephone_number": "650-660-9660",
            "fax_number": "209-975-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 E 11TH ST STE 107",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764088",
            "telephone_number": "650-660-9660",
            "fax_number": "209-975-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE TEEN THERAPY LICENSED CLINICAL SOCIAL WORKER APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "DHAMNASKAR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "FOUNDER AND CLINICIAN",
        "authorized_official_telephone_number": "650-660-9660",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empower Youth Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.