Active NPI
Thrive Teen Therapy Licensed Clinical Social Worker Apc
- Mental Health Counselor
- Tracy, CA
National Provider Identifier
1831072180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Dhamnaskar, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.