Kenneth C Thomas, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2153 Issued in MD

Practice address

Smallwood Building
2670 Crain Highway, Suite 525
Waldorf, MD 20601

Phone

(301) 632-2100

Fax

(301) 632-2150

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trico Corporation

  • Counselor
  • Waldorf, MD
  • NPI 1093796492
  NPD (past)
• Trico Corporation

  • Mental Health Counselor
  • Waldorf, MD
  • NPI 1790817674
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033132568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TRICO CORPORATION",
            "address_2": "P.O. BOX 826",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "20653",
            "telephone_number": "301-862-4966",
            "fax_number": "301-862-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SMALLWOOD BUILDING",
            "address_2": "2670 CRAIN HIGHWAY, SUITE 525",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20601",
            "telephone_number": "301-632-2100",
            "fax_number": "301-632-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KENNETH",
        "middle_name": "C",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Chisley Behavioral Health Services, LLC
• Thomas M. Kline D.C.,P.a. (Kline Chiropractic Clinic)
• Thomas M. Kline, D.C.,P.a. (Kline Chiropractic)
• Jurnee Thomas
• Kennedy Marie Thomas
• Lasaundra Thomas
• Rachelle Thomas, LCSW-C
• Shawnee Lakai Thomas, CRNP
• Valerie Thomas, P.A.
• Christina Thomopoulos

• Mental Health Counselor in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.