Active NPI
Thrive LGBT
- Community/Behavioral Health Agency
- Cleveland, OH
National Provider Identifier
1912640129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THRIVE LGBT
- Doing business as
- Thrive LGBT
- Practice address
- 568 East 101 TH St, Ste4
Cleveland, OH 44108 - Phone
- (866) 226-1031
- NPI assigned
- Apr 15, 2022
- Last updated
- May 6, 2022
- 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
- Dresean Matthews
- Title
- Owner
- Phone
- (866) 226-1031
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Foster Care Agency | 253J00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
568 East 101 TH St, Ste4
Cleveland, OH 44108
Mailing address
568 East 101 TH St, Ste4
Cleveland, OH 44108
Phone (866) 226-1031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Medicaid | OH |
Other names 1
- Thrive LGBT
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/a | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651795200000",
"number": "1912640129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 EAST 101 TH ST, STE4",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44108",
"telephone_number": "866-226-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 EAST 101 TH ST, STE4",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44108",
"telephone_number": "866-226-1031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE LGBT",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-15",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A",
"authorized_official_last_name": "MATTHEWS",
"authorized_official_first_name": "DRESEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "866-226-1031"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/a",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "568 East 101 th St, Ste4",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "44108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Thrive LGBT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, OH
- Somy Monica Thottathil, MD
- Thousand Branches Professionals East Coast PLLC (Thousand Branches Wellness Cleveland)
- Richard Thousand, CNP
- Beth Ann Thrall, RN
- Thresholds Counseling and Consulting, LLC
- Susan Thrun
- Justin Thrush, MD, MBA
- Thomas Edward Thurlow, MSN, AGACNP-BC
- Alexandria D Thurman
- Brinda Thurman, QMHS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.