Individual provider Active NPI

Joanne Thomas, LPC, NCC

  • Professional Counselor
  • Fredericksburg, VA
National Provider Identifier
1053897868
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007755 Issued in VA
Practice address
4821 Carr Dr
Fredericksburg, VA 22408-2689
Phone
(844) 441-4409
NPI assigned
Jul 15, 2018
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007755 VA Primary

Addresses

Primary practice location

4821 Carr Dr
Fredericksburg, VA 22408-2689

Mailing address

4821 Carr Dr
Fredericksburg, VA 22408-2689
Phone (844) 441-4409

Other practice location 1

4099 Foxwood Dr Ste 106
Virginia Beach, VA 23462-5222
Phone (757) 467-8184

Other practice location 2

150 Olde Greenwich Dr Ste 204
Fredericksburg, VA 22408-4002
Phone (844) 441-4409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106003096 VA Practitioner - Mental Health Counselor 2567990450 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Play Therapy Essentially, PLLC Professional CurrentSince Oct 22, 2024 Accepting new patients

Locations

150 Olde Greenwich Dr
Ste 204
Fredericksburg, VA 22408
Phone (540) 226-5586

420 Hudgins Rd
Ste 207
Fredericksburg, VA 22408

4821 Carr Dr
Fredericksburg, VA 22408
Phone (844) 441-4409

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1053897868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 CARR DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082689",
            "telephone_number": "844-441-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 CARR DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082689",
            "telephone_number": "844-441-4409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4099 Foxwood Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234625222",
            "country_code": "US",
            "telephone_number": "757-467-8184",
            "fax_number": "757-467-2485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Olde Greenwich Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224084002",
            "country_code": "US",
            "telephone_number": "844-441-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOANNE",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-15",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.