Individual provider Active NPI

Johnny Thomas

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
National Provider Identifier
1053817593
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A015900315 Issued in CA
Practice address
947 Cole Ave
Los Angeles, CA 90038-2610
Phone
(323) 871-4600
Fax
(323) 465-5839
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A015900315 CA Primary

Addresses

Primary practice location

947 Cole Ave
Los Angeles, CA 90038-2610

Mailing address

1224 Vine St
Los Angeles, CA 90038-1612
Phone (323) 871-4600

Other practice location 1

1224 Vine St
Los Angeles, CA 90038-1612
Phone (323) 769-6100

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

LicenseStateTypeSpecialty
A015900315CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health Current Accepting new patients
Los Angeles County Department of Mental Health PastSince Sep 25, 2019 Accepting new patients
Los Angeles County Department of Mental Health PastSince Sep 25, 2019 Accepting new patients
Antelope Valley Rehabilitation Centers Residential Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: johnnythomas-lacavrccenter@lacsapc.netsmartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1053817593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 VINE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381612",
            "telephone_number": "323-871-4600",
            "fax_number": "323-646-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 COLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900382610",
            "telephone_number": "323-871-4600",
            "fax_number": "323-465-5839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 Vine St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900381612",
            "country_code": "US",
            "telephone_number": "323-769-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOHNNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A015900315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.