Active NPI
Tabitha E. Thomas
- Addiction (Substance Use Disorder) Counselor
- Portsmouth, OH
National Provider Identifier
1043779689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDCIII.162372
- Practice address
- 1907 11TH St
Portsmouth, OH 45662-4531 - Phone
- (513) 941-4999
- Fax
- (513) 694-0168
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.168975 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.172149 | OH | |
| Mental Health Counselor | 101YM0800X | QMHS-BACHELORS | OH | |
| Social Worker | 104100000X | S.2202762-TRNE | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.162372 | OH | Primary |
Addresses
Primary practice location
1907 11TH St
Portsmouth, OH 45662-4531
Mailing address
6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958
Phone (513) 941-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0338788 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.168975 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| CDCA.172149 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LCDCIII.162372 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| QMHS-BACHELORS | OH | MD | Mental Health Counselor |
| S.2202762-TRNE | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay Hash LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Jay Hash LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1518493394
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Portsmouth, OH
- NPI 1578941381
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1043779689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6460 HARRISON AVE STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477958",
"telephone_number": "513-941-4999",
"fax_number": "513-694-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 11TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624531",
"telephone_number": "513-941-4999",
"fax_number": "513-694-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TABITHA",
"middle_name": "E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.168975",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.172149",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "QMHS-BACHELORS",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2202762-TRNE",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.162372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0338788",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.