Thriveworks Clinical - Colorado PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THRIVEWORKS CLINICAL - COLORADO PC

Doing business as

Thriveworks

Practice address

4155 Darley Ave Ste F-1
Boulder, CO 80305-6536

Phone

(855) 284-7483

Fax

(617) 807-0958

NPI assigned

Aug 25, 2021

Organization subpart

No

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

Authorized official

Name

Anthony Centore, CEO

Title

Ceo

Phone

(540) 217-6461

Specialties & licenses 1

Addresses

Other names 1

• Thriveworks Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 9

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

• Cheryl Ann Spice, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1285288639
  Medicare reassignment NPD
• Blessing CHI, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1891592416
  Medicare reassignment
• Scott Gordon, MD

  • Psychiatry Physician
  • Ravenswood, WV
  • NPI 1821038159

  CO

  Medicare reassignment
• Shaheen Emmanuel Lakhan, MD, PHD, FAAN

  • Neurology Physician
  • Miami, FL
  • NPI 1649585944

  CO

  Medicare reassignment
• Shayna Carter, MS, LPC, LMHC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1346021714

  Mental Health

  NPD
• Sharon Godfrey-Garcia

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1750258604
  NPD
• Nasira Mukendi

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1407723737
  NPD
• Cheryl Turonis

  • Social Worker
  • Colorado Springs, CO
  • NPI 1689535106
  NPD
• Cole Thomas Scott White

  • Professional Counselor
  • Lakewood, CO
  • NPI 1689479222
  NPD

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1891462024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 DARLEY AVE STE F-1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056536",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5410 Powers Center Pt Ste 210",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207148",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W City Center Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810031030",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 E 29th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382766",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 3rd Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805015979",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5475 Mark Dabling Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183847",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Tenderfoot Hill Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809067393",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4239 Centerplace Dr Unit 2F",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343774",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVEWORKS CLINICAL - COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "CENTORE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-217-6461",
        "authorized_official_credential": "CEO"
    },
    "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": "Thriveworks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thriveworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Three Peaks Medical LLC
• Thrive Counseling LLC
• Thrive Psychotherapeutic Services LLC (Thrive)
• Thrive Psychotherapeutic Services LLC
• Thrive Psychotherapeutic Services LLC (Thrive)
• Tessa Rose Thulien, LPC
• Jenelle Thurston, MA, LPCC
• Karina Maria Tibble, MA
• Maggie J Tice
• Lynn Renee Tidd

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.