Individual provider Active NPI

Emily Thomas, LCSW, MSSW

  • Clinical Social Worker
  • Carrollton, TX
National Provider Identifier
1013416221
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54125 Issued in TX
Practice address
4425 Plano Pkwy Suite 701
Carrollton, TX 75010-6345
Phone
(214) 912-6720
NPI assigned
Feb 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 54125 TX
Clinical Social Worker 1041C0700X 54125 TX Primary

Addresses

Primary practice location

4425 Plano Pkwy Suite 701
Carrollton, TX 75010-6345

Mailing address

2845 Sandstone Drive
Hurst, TX 76054
Phone (214) 912-6720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54125TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Mindful Healing Counseling, PLLC CurrentSince Jul 2, 2023 Accepting new patients
Kona Counseling PC Past Accepting new patients

Locations

4425 Plano Pkwy
Ste 701
Carrollton, TX 75010
Phone (214) 912-6720

Interoperability endpoints

  • Direct secure messaging: emilythomas@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1013416221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 SANDSTONE DRIVE",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76054",
            "telephone_number": "214-912-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PLANO PKWY SUITE 701",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106345",
            "telephone_number": "214-912-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "EMILY",
        "credential": "LCSW, MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-03",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "54125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.