THRIVEWORKS TELEPSYCHIATRY - ARKANSAS
NPI 1669130928
Counselor - Mental Health in Fayetteville, AR

Active since December 03, 2021
300 N COLLEGE AVE STE 305, FAYETTEVILLE, AR 72701(855) 284-7483 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2025, Jan 11, 2022, Dec 3, 2021 (3 updates tracked since 2021).

About Thriveworks Telepsychiatry - Arkansas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THRIVEWORKS TELEPSYCHIATRY - ARKANSAS (NPI 1669130928) is a healthcare organization registered as a mental health in Fayetteville, Arkansas and active in the NPI registry since December 2021. The organization maintains 5 additional practice locations and lists Anthony Centore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669130928
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTHRIVEWORKS TELEPSYCHIATRY - ARKANSAS
Location Address300 N COLLEGE AVE STE 305Fayetteville, AR 72701-4381
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483
Organization SubpartNo
Authorized OfficialAnthony CentoreCeo · (540) 217-6461
Enumeration DateDecember 3, 2021
Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1669130928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
300 N COLLEGE AVE STE 305, Fayetteville, AR 72701

Secondary Practice Locations 5

Location 11814 Executive SqJonesboro, AR 72401-6085 · Phone (855) 284-7483
Location 2102 Country Club Pkwy Ste AMaumelle, AR 72113-7048 · Phone (855) 284-7483
Location 3685 Shelby Trl Ste 105Conway, AR 72034-7169 · Phone (855) 284-7483
Location 4809 SW I St Ste 23Bentonville, AR 72712-6240 · Phone (855) 284-7483
Location 54704 W Commercial Dr Ste ANorth Little Rock, AR 72116-8040 · Phone (855) 284-7483

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thriveworks Telepsychiatry - Arkansas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Thriveworks Telepsychiatry - Arkansas, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1811476146
614 E EMMA AVE STE 300
Springdale, AR 72764
(479) 751-7417
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1396224002
10311 W MARKHAM ST
Little Rock, AR 72205
(501) 781-2230
✔ PECOS135 mi
Nurse Practitioner
NPI 1790039162
1312 W COLLIN RAYE DR
De Queen, AR 71832
(870) 584-7115
✔ PECOS✔ Accepts Medicare140 mi
Nurse Practitioner
NPI 1790368801
211 MISSOURI
Helena, AR 72342
(870) 338-3363
✔ PECOS✔ Accepts Medicare228 mi
Psychiatry
NPI 1497909147
2727 MARSHALL CT STE 1
Madison, WI 53705
(608) 232-9929
✔ PECOS545 mi

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 Thriveworks Telepsychiatry - Arkansas's NPI number?

The NPI number for Thriveworks Telepsychiatry - Arkansas is 1669130928. It was assigned to this organization in the NPPES registry on December 3, 2021.

Where is Thriveworks Telepsychiatry - Arkansas located?

Thriveworks Telepsychiatry - Arkansas is located at 300 N College Ave Ste 305, Fayetteville, AR 72701. The listed phone number is (855) 284-7483.

What is Thriveworks Telepsychiatry - Arkansas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Thriveworks Telepsychiatry - Arkansas enrolled in Medicare?

Yes. Thriveworks Telepsychiatry - Arkansas is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thriveworks Telepsychiatry - Arkansas?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Thriveworks Telepsychiatry - Arkansas. 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 (4) and Psychiatry (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thriveworks Telepsychiatry - Arkansas was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.