Individual provider Active NPI

Amera Jullanar Thomas, MS, PPC

  • Professional Counselor
  • Apopka, FL
National Provider Identifier
1073874244
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LMHC22200 Issued in FL
Practice address
2501 Banks View Cir Apt 305
Apopka, FL 32703-0109
Phone
(407) 770-8338
NPI assigned
Jun 5, 2012
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PPC-1223 WY
Professional Counselor 101YP2500X LMHC22200 FL Primary

Addresses

Primary practice location

2501 Banks View Cir Apt 305
Apopka, FL 32703-0109

Mailing address

2501 Banks View Cir Apt 305
Apopka, FL 32703-0109
Phone (407) 770-8338

Other practice location 1

116 S Third Street
Basin, WY 82410
Phone (407) 770-8338

Other practice location 2

5104 N Orange Blossom Trail
Suite 107
Orlando, FL 32810
Phone (407) 504-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240404003420 FL Practitioner - Mental Health Counselor 3870931124 Reassigns benefits to 2 organizations
I20260403001204 VT Practitioner - Mental Health Counselor 3870931124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PPC-1223WYMDCounselor
LMHC22200FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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, 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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1073874244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BANKS VIEW CIR APT 305",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327030109",
            "telephone_number": "407-770-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BANKS VIEW CIR APT 305",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327030109",
            "telephone_number": "407-770-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 S Third Street",
            "address_purpose": "LOCATION",
            "city": "Basin",
            "state": "WY",
            "postal_code": "82410",
            "country_code": "US",
            "telephone_number": "407-770-8338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5104 N Orange Blossom Trail",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32810",
            "country_code": "US",
            "telephone_number": "407-504-3105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMERA",
        "middle_name": "JULLANAR",
        "credential": "MS, PPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-1223",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "LMHC22200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.