Active NPI
Laura Ann Thomas, LCPC, LPC
- Professional Counselor
- Rincon, GA
National Provider Identifier
1053933259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- BBH-LCPC-LIC-42847
- Practice address
- 1009 N Columbia Ave
Rincon, GA 31326-6828 - Phone
- (912) 657-9613
- NPI assigned
- May 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC013013 | GA | |
| Professional Counselor | 101YP2500X | BBH-LCPC-LIC-42847 | MT | Primary |
Addresses
Primary practice location
1009 N Columbia Ave
Rincon, GA 31326-6828
Mailing address
543 Earl Lain Rd
Guyton, GA 31312-6272
Phone (912) 250-9497
Other practice location 1
2755 Colonial Dr
Helena, MT 59601-4926
Phone (406) 444-7500
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 |
|---|---|---|---|
| LPC013013 | GA | MD | Professional Counselor |
| BBH-LCPC-LIC-42847 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Counseling, Inc | Professional | Current | Accepting new patients |
| Heritage Counseling | Professional | Past | Accepting new patients |
Locations
1009 N Columbia Ave
Rincon, GA 31326
Phone (912) 572-5261
Interoperability endpoints
- rbhi.laurathomas@156087.advancedmd-direct.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1053933259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 EARL LAIN RD",
"city": "GUYTON",
"state": "GA",
"postal_code": "313126272",
"telephone_number": "912-250-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 N COLUMBIA AVE",
"city": "RINCON",
"state": "GA",
"postal_code": "313266828",
"telephone_number": "912-657-9613"
}
],
"practiceLocations": [
{
"address_1": "2755 Colonial Dr",
"address_purpose": "LOCATION",
"city": "Helena",
"state": "MT",
"postal_code": "596014926",
"country_code": "US",
"telephone_number": "406-444-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "LCPC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-11",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013013",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "BBH-LCPC-LIC-42847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.