Connect Thrive Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CONNECT THRIVE THERAPY, LLC

Practice address

4800 Meadows Rd Ste 320
Lake Oswego, OR 97035-4264

Phone

(971) 339-1662

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Phelps, LCSWNPI 1366920316

Title

Owner

Phone

(971) 339-1662

Specialties & licenses 2

Addresses

Other names 1

• Connect Thrive Institute Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Phelps, LCSW

  • Clinical Social Worker
  • Oregon City, OR
  • NPI 1366920316
  NPD Authorized official

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1851042279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2044",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350631",
            "telephone_number": "971-339-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEADOWS RD STE 320",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354264",
            "telephone_number": "971-339-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT THRIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-339-1662",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connect Thrive Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Compounding Pharmacy
• Concentra Health Services, Inc.
• Concetta M Antonelli LMT
• Isamar Conde Negron
• Rachael Ann Cone, L.M.T.
• Connections PDX LLC
• Edward Everett Conrad Jr., M.D.
• Edwin Martin Emanuel Conta
• Jessica Linn Conwell, PSY.D.
• Christine Ann Cook, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.