Thrive West

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THRIVE WEST

Practice address

4949 S Macadam Ave # 96
Portland, OR 97239-3912

Phone

(971) 248-2651

NPI assigned

Mar 6, 2020

Organization subpart

No

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

Authorized official

Name

Elizabeth C Gentzkow, LPCNPI 1417493719

Title

Executive Director

Phone

(971) 248-2651

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Elizabeth Christiane Gentzkow, LPC

  • Professional Counselor
  • Portland, OR
  • NPI 1417493719
  NPD Authorized official

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1861027252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 MAPLETON DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682123",
            "telephone_number": "971-248-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 S MACADAM AVE # 96",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393912",
            "telephone_number": "971-248-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "GENTZKOW",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "971-248-2651",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1417493719",
            "identifier": "C4394",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://spruce.care/thrivewestllc",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4949 S MacAdam Ave # 96",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972393912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Thrive Psychological Wellness LLC
• Thrive Residential Facility LLC
• Thriving Acupuncture (Paul Storm)
• Thriving Force, LLC (Thriving Force Natural Medicine)
• Thriving Hub LLC
• Kay Throckmorton, P.T.
• Shannon Throckmorton, M.D.

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.