Diana Deshawn Thomas, MAADAC1, CPS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14230 Issued in MO

Practice address

2551 W Kearney St
Springfield, MO 65803-2034

Phone

(417) 210-6025

Fax

(417) 869-4280

NPI assigned

Jun 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Diana Deshawn Thomas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• BHG Lxxiv, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MO
  • NPI 1982314175
  NPD
• BHG Xliii, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MO
  • NPI 1558805754
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1023747011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 W KEARNEY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032034",
            "telephone_number": "417-210-6025",
            "fax_number": "417-869-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 W KEARNEY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032034",
            "telephone_number": "417-210-6025",
            "fax_number": "417-869-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DIANA",
        "middle_name": "DESHAWN",
        "credential": "MAADAC1, CPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "14230",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "14531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "THOMAS",
            "middle_name": "DESHAWN",
            "credential": "MAADAC1, CPS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Charles Alan Thomas, M.D.
• Chelsey L Thomas
• Christina Thomas, D.C.
• Christine Thomas
• Desiree Veronica Thomas, MA, LPC
• Diane E Thomas, CRNA
• Emily S Thomas, OD
• Jacob K. Thomas, MD
• Leah Thomas
• Leanna Thomas

• Addiction (Substance Use Disorder) Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Addiction (Substance Use Disorder) Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.