Individual provider Active NPI

Maria Kirsten Leslie Thomas, MFT

  • Marriage & Family Therapist
  • Hollidaysburg, PA
National Provider Identifier
1073650420
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000290 Issued in PA
Practice address
416 Allegheny St Ste 103
Hollidaysburg, PA 16648-2026
Phone
(814) 937-5129
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000290 PA Primary

Addresses

Primary practice location

416 Allegheny St Ste 103
Hollidaysburg, PA 16648-2026

Mailing address

2709 Broadway
Altoona, PA 16601-3703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240102000078 PA Practitioner - Marriage and Family Therapist 3072963289 Practice locations: Hollidaysburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

416 Allegheny St
Suite 103
Hollidaysburg, PA 16648-2026
Phone (814) 937-5129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MF000290PAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1073650420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BROADWAY",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 ALLEGHENY ST STE 103",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482026",
            "telephone_number": "814-937-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE THOMAS",
        "first_name": "MARIA",
        "middle_name": "KIRSTEN",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

Verify at the official NPI Registry.