Active NPI
Randal Lynn Thomas, MSW
- Marriage & Family Therapist
- Colorado Springs, CO
National Provider Identifier
1003633017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- SWC0000001258
- Practice address
- 4440 Barnes Rd
Colorado Springs, CO 80917-1564 - Phone
- (719) 345-2424
- NPI assigned
- Sep 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | SWC0000001258 | CO | Primary |
Addresses
Primary practice location
4440 Barnes Rd
Colorado Springs, CO 80917-1564
Mailing address
8165 Tulip Tree CT
Colorado Springs, CO 80920-5727
Phone (719) 322-8517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWC0000001258 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overcomers Counseling | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1003633017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8165 TULIP TREE CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809205727",
"telephone_number": "719-322-8517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 BARNES RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809171564",
"telephone_number": "719-345-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "RANDAL",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-21",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "SWC0000001258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.