THRIVE MENTAL WELLNESS, PLLC
NPI 1447047469
Nurse Practitioner - Psychiatric/Mental Health in Poplar Grove, IL

Active since April 23, 2025
13508 JULIE DR, POPLAR GROVE, IL 61065(815) 596-0098 Get Directions Write a Review

NPPES record last updated: April 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1447047469
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHRIVE MENTAL WELLNESS, PLLC
Location Address13508 JULIE DRPoplar Grove, IL 61065-7829
Mailing Address13508 Julie DrPoplar Grove, IL 61065-7829 · (815) 596-0098
Organization SubpartNo
Authorized OfficialCourtney Nicolle FormanOwner · (815) 209-8486
Enumeration DateApril 23, 2025
Last NPPES UpdateApril 27, 2025
NPPES CertifiedApril 27, 2025
NPI 1447047469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
13508 JULIE DR, Poplar Grove, IL 61065

Other Identifiers 1

Other1376099127IL · Other

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
13508 JULIE DR
POPLAR GROVE, IL 61065
Chiropractor
13508 JULIE DR
POPLAR GROVE, IL 61065
Counselor (Mental Health)
13508 JULIE DR
POPLAR GROVE, IL 61065
Chiropractor
13508 JULIE DR
POPLAR GROVE, IL 61065

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.

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 15 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.