NPIMap

Organization Active NPI

Thriving Enhanced Services

  • Social Worker
  • Inkster, MI
National Provider Identifier
1962123711
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
THRIVING ENHANCED SERVICES
Practice address
751 Harrison St
Inkster, MI 48141-1170
Phone
(248) 567-2625
NPI assigned
Sep 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Justin T Gillespie, LMSW-CLINICALNPI 1003420498
Title
Owner/Therapist
Phone
(248) 567-2625

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

751 Harrison St
Inkster, MI 48141-1170

Mailing address

751 Harrison St
Inkster, MI 48141-1170

Other identifiers 1

IdentifierTypeStateIssuer
F34831117MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL thrivingenhancedservices@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1962123711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 HARRISON ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 HARRISON ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411170",
            "telephone_number": "248-567-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING ENHANCED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "248-567-2625",
        "authorized_official_credential": "LMSW-CLINICAL"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F34831117",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thrivingenhancedservices@gmail.com",
            "affiliation": "N",
            "address_1": "751 Harrison St",
            "city": "Inkster",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481411170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Inkster, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.