Organization Active NPI

Thrive Through Play LLC

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1972475036
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THRIVE THROUGH PLAY LLC
Practice address
355 NE Lafayette Ave
Bend, OR 97701-4555
Phone
(541) 797-0748
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Shayla D Wittenberg, PC-ANPI 1942022256
Title
Owner/Counselor
Phone
(773) 780-1489

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

355 NE Lafayette Ave
Bend, OR 97701-4555

Mailing address

2051 NW Nickernut Ave
Redmond, OR 97756-7757
Phone (773) 780-1489

National Provider Directory

National Provider Directory

Locations

355 NE Lafayette Ave
Bend, OR 97701
Phone (541) 797-0748

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": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1972475036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 NW NICKERNUT AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977567757",
            "telephone_number": "773-780-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NE LAFAYETTE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014555",
            "telephone_number": "541-797-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE THROUGH PLAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "WITTENBERG",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "773-780-1489",
        "authorized_official_credential": "PC-A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.