THRIVE MENTAL WELLNESS, PLLC
NPI 1447047469
Nurse Practitioner - Psychiatric/Mental Health in Poplar Grove, IL
About Thrive Mental Wellness, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THRIVE MENTAL WELLNESS, PLLC (NPI 1447047469) is a healthcare organization registered as a psychiatric/mental health in Poplar Grove, Illinois and active in the NPI registry since April 2025. The organization lists Courtney Nicolle Forman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thrive Mental Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Thrive Mental Wellness, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Thrive Mental Wellness, PLLC's NPI number?
The NPI number for Thrive Mental Wellness, PLLC is 1447047469. It was assigned to this organization in the NPPES registry on April 23, 2025.
Where is Thrive Mental Wellness, PLLC located?
Thrive Mental Wellness, PLLC is located at 13508 Julie Dr, Poplar Grove, IL 61065. The listed phone number is (815) 596-0098.
What is Thrive Mental Wellness, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Thrive Mental Wellness, PLLC enrolled in Medicare?
Yes. Thrive Mental Wellness, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thrive Mental Wellness, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Thrive Mental Wellness, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Clinical Social Worker (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Thrive Mental Wellness, PLLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and MercyCare Health Plans list Thrive Mental Wellness, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Thrive Mental Wellness, PLLC was last updated on April 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Thrive Mental Wellness, Pllc · NPI 1447047469
Psychiatric/Mental Health organization in Poplar Grove, Illinois. Organization record, active in the CMS NPPES registry since April 23, 2025.
## Identity
- **NPI:** 1447047469 (Entity type: Organization)
- **Enumerated:** April 23, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Courtney Forman, OWNER
## Practice location
- **Address:** 13508 JULIE DR, Poplar Grove, IL 61065-7829
- **Phone:** (815) 596-0098
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Clinical Social Worker (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2025
- **Other identifiers:** Other 1376099127 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1447047469) · Data from the CMS NPPES public registry.