NPIMap

Organization Active NPI

Thrive Therapy Services LLC

Doing business as Thrive Therapy Services

  • Community/Behavioral Health Agency
  • Kenosha, WI
National Provider Identifier
1922557800
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5926-125 Issued in WI
Legal business name
THRIVE THERAPY SERVICES LLC
Doing business as
Thrive Therapy Services
Practice address
2900 Roosevelt Rd
Kenosha, WI 53143-4642
Phone
(262) 997-9411
Fax
(262) 997-3844
NPI assigned
Oct 3, 2016
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Sandra Eiler, LPC, NCS, ICSNPI 1275975807
Title
Clinic Director
Phone
(262) 997-9411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5926-125 WI Primary

Addresses

Primary practice location

2900 Roosevelt Rd
Kenosha, WI 53143-4642

Mailing address

PO Box 488
Bristol, WI 53104-0488
Phone (262) 997-9411

Other practice location 1

310 Lance Dr Ste 100
Twin Lakes, WI 53181-9639
Phone (262) 997-9411

Other identifiers 3

IdentifierTypeStateIssuer
1922557800OtherNPI (TYPE 2)
100032629MedicaidWI
100247525MedicaidWI

Other names 1

  • Thrive Therapy Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190816000698 WI Part B Supplier - Clinic/Group Practice 2062749815 Receives reassigned benefits from 5 practitioners
Practice locations: Kenosha, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1922557800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BRISTOL",
            "state": "WI",
            "postal_code": "531040488",
            "telephone_number": "262-997-9411",
            "fax_number": "262-997-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 ROOSEVELT RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531434642",
            "telephone_number": "262-997-9411",
            "fax_number": "262-997-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Lance Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Twin Lakes",
            "state": "WI",
            "postal_code": "531819639",
            "country_code": "US",
            "telephone_number": "262-997-9411",
            "fax_number": "262-997-3844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "EILER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "262-997-9411",
        "authorized_official_credential": "LPC, NCS, ICS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "5926-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (TYPE 2)",
            "identifier": "1922557800",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100032629",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247525",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.