Edward C Thomas IV

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

8068A Issued in NC

Practice address

105 S Ellington St
Clayton, NC 27520-2305

Phone

(919) 243-0454

Fax

(919) 243-0923

NPI assigned

Apr 19, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Psychological Mobile Services, PA

  • Psychologist
  • Wilson, NC
  • NPI 1104179340
  NPD (past)
• Wayne Cares Inc.

  • Voluntary or Charitable Agency
  • Goldsboro, NC
  • NPI 1518414465
  NPD (past)
• Waynesboro Family Clinic

  • Mental Health Counselor
  • Goldsboro, NC
  • NPI 1760417570
  NPD (past)

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1093159147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S ELLINGTON ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202305",
            "telephone_number": "919-243-0454",
            "fax_number": "919-243-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S ELLINGTON ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202305",
            "telephone_number": "919-243-0454",
            "fax_number": "919-243-0923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Wooten Blvd SW Ste K",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278934464",
            "country_code": "US",
            "telephone_number": "252-291-0735",
            "fax_number": "252-291-2890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 Wayne Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275342240",
            "country_code": "US",
            "telephone_number": "919-734-6676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "8068A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Edge Strength & Conditioning Camp LLC
• The Enhancement Center, Inc.
• Therapy for Kids
• Pratheeba Thirucenthilvelan, DMD
• Ashley Leah Thomas, PNP
• Timika Thomas, LCAS
• Trina Thomas
• Ashley Thompson, RN IBCLC
• Jessica Ashley Thompson, D.C.
• Matthew Aaron Thompson, D.C.

• Marriage & Family Therapist in Clayton, NC
• Providers in Clayton, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.