Active NPI
David George Thomassen, MS, LGPC
- Mental Health Counselor
- Frederick, MD
National Provider Identifier
1013338623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP3782
- Practice address
- 309 E Patrick St
Frederick, MD 21701-5614 - Phone
- (240) 578-2322
- NPI assigned
- Dec 27, 2013
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP3782 | MD | Primary |
Addresses
Primary practice location
309 E Patrick St
Frederick, MD 21701-5614
Mailing address
309 E Patrick St
Frederick, MD 21701-5614
Phone (240) 578-2322
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP3782 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388102400000",
"number": "1013338623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015614",
"telephone_number": "240-578-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015614",
"telephone_number": "240-578-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASSEN",
"first_name": "DAVID",
"middle_name": "GEORGE",
"credential": "MS, LGPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-27",
"last_updated": "2013-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP3782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.