Active NPI
Deborah Lynette Thomas
- Counselor
- Baton Rouge, LA
National Provider Identifier
1093080780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00016582
- Practice address
- 5700 Florida Blvd
Suite 312
Baton Rouge, LA 70806-4274 - Phone
- (225) 448-5567
- Fax
- (225) 448-5901
- NPI assigned
- Mar 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00016582 | LA | Primary |
| Professional Counselor | 101YP2500X | 1079 | LA |
Addresses
Primary practice location
5700 Florida Blvd
Suite 312
Baton Rouge, LA 70806-4274
Mailing address
5700 Florida Blvd
Suite 312
Baton Rouge, LA 70806-4274
Phone (225) 448-5567
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 |
|---|---|---|---|
| 00016582 | LA | MD | Counselor |
| 1079 | LA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moss Side Counseling Services, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Baton Rouge, LA
- NPI 1144575531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1093080780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 FLORIDA BLVD",
"address_2": "SUITE 312",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708064274",
"telephone_number": "225-448-5567",
"fax_number": "225-448-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 FLORIDA BLVD",
"address_2": "SUITE 312",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708064274",
"telephone_number": "225-448-5567",
"fax_number": "225-448-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DEBORAH",
"middle_name": "LYNETTE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "00016582",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "1079",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.