Organization Active NPI

Thaicounselor P.C.

Doing business as Thaicounselor

  • Counseling Psychologist
  • Marysville, CA
National Provider Identifier
1083448971
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
THAICOUNSELOR P.C.
Doing business as
Thaicounselor
Practice address
825 9TH St Ste a
Marysville, CA 95901-5246
Phone
(844) 816-1777
Fax
(866) 473-2566
NPI assigned
Sep 2, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Ms. Laura Smith, LMFT
Title
Partner
Phone
(844) 816-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU Primary

Addresses

Primary practice location

825 9TH St Ste a
Marysville, CA 95901-5246

Mailing address

1021 E Lincolnway Unit 768
Cheyenne, WY 82001-4851
Phone (844) 816-1777

Other names 1

  • Thaicounselor Doing business as

National Provider Directory

National Provider Directory

Locations

825 9th St
Ste A
Marysville, CA 95901
Phone (844) 816-1777

1021 E Lincolnway
Unit 768
Cheyenne, WY 82001

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1083448971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E LINCOLNWAY UNIT 768",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014851",
            "telephone_number": "844-816-1777",
            "fax_number": "866-473-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 9TH ST STE A",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015246",
            "telephone_number": "844-816-1777",
            "fax_number": "866-473-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAICOUNSELOR P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "844-816-1777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thaicounselor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thaicounselor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.