THRIVE BEHAVIORAL HEALTH, LLC (NPI# 1295398378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295398378 |
| Entity Type | Organization |
| Organization Name | THRIVE BEHAVIORAL HEALTH, LLC |
| Practice Address |
720 S Dubuque St Ste 1 Iowa City IA 52240-4242 |
| Practice Telephone | 3195691710 |
| Mailing Telephone | 3195691710 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | DR. LANAYA L ETHINGTON (CO-OWNER) |
| Authorized Official Telephone | 3195691710 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548762750 | Thrive Behavioral Health, LLC | Clinic/Center | 1200 Technology Dr Ste Q, Aberdeen, MD 21001-1124 | 2018-03-03 |
| 1790156362 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 5720 Executive Dr Ste 100-105, Baltimore, MD 21228 | 2015-10-08 |
| 1750772885 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 1120 Benfield Blvd Ste F, Millersville, MD 21108-2529 | 2015-02-11 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| 1700356508 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 5720 Executive Dr Ste 100-105, Baltimore, MD 21228-1757 | 2018-12-05 |
| 1801366604 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 | 2018-12-05 |
| 1306396163 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 12501 Prosperity Dr, Suite 235, Silver Spring, MD 20904-1689 | 2016-10-05 |
| 1730565839 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 1114 Benfield Blvd Ste G, Millersville, MD 21108-2589 | 2015-07-31 |
| Street Address |
720 S DUBUQUE ST STE 1 |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52240-4242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992822670 | Lanaya Lynn Ethington | Psychologist | 720 S Dubuque St Ste 1, Iowa City, IA 52240-4242 | 2007-03-26 |
| 1407453400 | Gerta Bardhoshi | Counselor | 720 S Dubuque St Ste 1, Iowa City, IA 52240-4242 | 2020-10-03 |
| 1366675928 | Jeremy Caleb Kinser | Psychologist | 720 S Dubuque St Ste 1, Iowa City, IA 52240-4242 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
| 1356852321 | Spencer Joseph Bohr | Specialist/Technologist | 314 S Governor St, Iowa City, IA 52240 | 2017-10-18 |
| 1992215651 | Kezia Jade Digioia | Student in an Organized Health Care Education/Training Program | 505 East Burlington St, Apt 7b, Iowa City, IA 52240 | 2017-10-09 |
| 1457879694 | Teleigha Teilon Lourell Starks | Specialist/Technologist | 629 South Johnson, 3, Iowa City, IA 52240 | 2017-09-08 |
| 1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
| 1750701439 | County of Johnson | Public Health or Welfare | 855 S Dubuque, Suite 217, Iowa City, IA 52240 | 2014-04-22 |
| 1083045892 | Julie Louise Gallagher | Dietitian, Registered | 1720 Waterfront Drive, Iowa City, IA 52240 | 2013-12-04 |
| 1619314515 | Jade A Baxley | Physical Therapist | 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 | 2013-05-31 |
| 1629316062 | Shelter House Community Shelter and Transition Services | Community/Behavioral Health | 429 Southgate Ave, Iowa City, IA 52240 | 2013-01-18 |
| Find all providers in zip 52240 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992822670 | Lanaya Lynn Ethington | Psychologist | 720 S Dubuque St Ste 1, Iowa City, IA 52240-4242 | 2007-03-26 |
| 1023120276 | Gregory Leo Gullickson | Psychologist | 7 Stuit Hall, Iowa City, IA 52242 | 2006-08-31 |
| 1114038635 | Sarah Fraley | Psychologist | 601 Hwy 6 West/116cc, Iowa City Vamc, Iowa City, IA 52246 | 2006-08-31 |
| 1598709214 | Mary Datson Eggert | Psychologist | Va Medical Center, Psychology 116b, Highway 6 East, Iowa City, IA 52246 | 2006-06-15 |
| 1831156173 | Alison K Milburn | Psychologist | 325 E Washington St, Ste 301, Iowa City, IA 52240 | 2006-04-28 |
| 1891784591 | Lauri Jo Lehn | Psychologist | 209 East Washington St, Suite 202, Iowa City, IA 52240-3928 | 2005-10-17 |
| 1982170890 | Tracy M Ksiazak | Psychologist | 600 Blank Honors Ctr, Iowa City, IA 52242-0454 | 2018-10-18 |
| 1538691316 | John Westefeld | Psychologist | 2412 Towncrest Dr, Iowa City, IA 52240-6622 | 2017-03-30 |
| 1235593252 | State University of Iowa | Psychologist | 3223 Westlawn S, Iowa City, IA 52242-1102 | 2016-04-06 |
| 1194122127 | Eva G Schoen | Psychologist | 200 Hawkins Dr, Dept of Psychiatry 2941 Jpp, Iowa City, IA 52242-1009 | 2014-11-19 |
| Find all providers in IOWA CITY | ||||
Please comment or provide details below to improve the information on THRIVE BEHAVIORAL HEALTH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.