Thrive Relational Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THRIVE RELATIONAL THERAPY

Practice address

400 E Evergreen Blvd Ste 205a
Vancouver, WA 98660-3385

Phone

(360) 450-2327

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Marissa Talarico, LMFTNPI 1093128472

Title

Owner

Phone

(360) 450-2327

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Marissa Ann Talarico, LMFTA

  • Marriage & Family Therapist
  • Vancouver, WA
  • NPI 1093128472

  Mental Health

  NPD Authorized official
• Brandy Buckner

  • Marriage & Family Therapist
  • Vancouver, WA
  • NPI 1295109742
  NPD

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1881297570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19620 SE 30TH WAY",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986079440",
            "telephone_number": "360-450-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD STE 205A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603385",
            "telephone_number": "360-450-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE RELATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "TALARICO",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-450-2327",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@thriverelationaltherapy.com",
            "affiliation": "N",
            "address_1": "400 E Evergreen Blvd Ste 205A",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986603385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Treshia M Thueson, RDN
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• Sailakshmi Thummapudi

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.