Active NPI
Laura Thomas, LLC
- Mental Health Counselor
- Melbourne, FL
National Provider Identifier
1023700184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LAURA THOMAS, LLC
- Practice address
- 4720 Pagosa Springs Cir
Melbourne, FL 32901-8255 - Phone
- (205) 657-1765
- NPI assigned
- May 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Thomas, LICSW
- Title
- Owner/Provider
- Phone
- (205) 657-1765
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4720 Pagosa Springs Cir
Melbourne, FL 32901-8255
Mailing address
4720 Pagosa Springs Cir
Melbourne, FL 32901-8255
Phone (205) 657-1765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741737600000",
"number": "1023700184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 PAGOSA SPRINGS CIR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329018255",
"telephone_number": "205-657-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 PAGOSA SPRINGS CIR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329018255",
"telephone_number": "205-657-1765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA THOMAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-25",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "205-657-1765",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.