Active NPI
The Thriving Place
- Mental Health Counselor
- Beaufort, SC
National Provider Identifier
1932812849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THE THRIVING PLACE
- Practice address
- 2015 Boundary St # 204
Beaufort, SC 29902-6802 - Phone
- (843) 379-0545
- NPI assigned
- Jan 5, 2023
- 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
- Shavon Jenkins, LPC, LAC
- Title
- Counselor/ Therapist
- Phone
- (843) 379-0545
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
2015 Boundary St # 204
Beaufort, SC 29902-6802
Mailing address
35 Parris Island Gtwy # 104
Beaufort, SC 29906-4244
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | thethrivingplace1@gmail.com |
National Provider Directory
National Provider DirectoryLocations
2015 Boundary St
#204
Beaufort, SC 29902
Phone (843) 379-0545
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Beaufort, SC
- NPI 1992138622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1932812849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 PARRIS ISLAND GTWY # 104",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299064244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 BOUNDARY ST # 204",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026802",
"telephone_number": "843-379-0545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRIVING PLACE",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "SHAVON",
"authorized_official_title_or_position": "COUNSELOR/ THERAPIST",
"authorized_official_telephone_number": "843-379-0545",
"authorized_official_credential": "LPC, LAC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"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": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "thethrivingplace1@gmail.com",
"affiliation": "N",
"address_1": "2015 Boundary St # 204",
"city": "Beaufort",
"state": "SC",
"country_code": "US",
"postal_code": "299026802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.