Thomas M. Lewis, M.ED.

Key facts

NPI

1043787476

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

147 Main Street
Tazewell, VA 24651

Phone

(276) 970-2505

NPI assigned

Oct 24, 2018

Sex

Male

Sole proprietor

Yes

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.

• Arcadia Behavioral Health, LLC Mental Health Counselor · Tazewell, VA · NPI 1619806742
  NPD Authorized official MENTAL HEALTH
• Dominion Psychology and Wellness Center, LLC Mental Health Counselor · North Tazewell, VA · NPI 1053002220
  NPD Authorized official MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Education

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 24, 2018.

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1043787476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 HILLTOP AVENUE",
            "city": "NORTH TAZEWELL",
            "state": "VA",
            "postal_code": "24630",
            "telephone_number": "276-970-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MAIN STREET",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "24651",
            "telephone_number": "276-970-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "THOMAS",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Tazewell, VA · Mental Health Counselor in Virginia