Individual provider Active NPI

Keyona Shantrice Thomas, PSY.D., MA, LCPC

  • Clinical Psychologist
  • College Park, MD
National Provider Identifier
1093994949
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
07013 Issued in MD
Practice address
9658 Baltimore Ave Ste 300
College Park, MD 20740-1346
Phone
(240) 283-5595
Fax
(801) 421-9115
NPI assigned
Oct 29, 2007
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC13986 DC
Professional Counselor 101YP2500X LC2555 MD
Professional Counselor 101YP2500X 0701008086 VA
Clinical Psychologist 103TC0700X PSY200001288 DC
Clinical Psychologist 103TC0700X 0810007740 VA
Clinical Psychologist 103TC0700X 07013 MD Primary
School Psychologist 103TS0200X PSY200001288 DC

Addresses

Primary practice location

9658 Baltimore Ave Ste 300
College Park, MD 20740-1346

Mailing address

9658 Baltimore Ave Ste 300
College Park, MD 20740-1346
Phone (240) 283-5595

Other practice location 1

1250 Connecticut Ave NW Ste 700
Washington, DC 20036-2657
Phone (240) 283-5595

Other practice location 2

9701 Apollo Dr Ste 100
Largo, MD 20774-4785
Phone (240) 283-5595

Other practice location 3

1765 Greensboro Station Pl Ste 900
Mc Lean, VA 22102-3470
Phone (240) 283-5595

Other identifiers 2

IdentifierTypeStateIssuer
362620200MedicaidMD
038690138MedicaidDC

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PRC13986DCMDProfessional Counselor
LC2555MDMDProfessional Counselor
0701008086VAMDProfessional Counselor
07013MDMDClinical Psychologist
0810007740VAMDClinical Psychologist
PSY200001288DCMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Principle Psychological Solutions, LLC Current Accepting new patients

Locations

9658 Baltimore Ave
Ste 300
College Park, MD 20740
Phone (202) 306-6048

9701 Apollo Dr
Ste 100
Uppr Marlboro, MD 20774
Phone (240) 487-6934

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, 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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1093994949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9658 BALTIMORE AVE STE 300",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401346",
            "telephone_number": "240-283-5595",
            "fax_number": "801-421-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9658 BALTIMORE AVE STE 300",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401346",
            "telephone_number": "240-283-5595",
            "fax_number": "801-421-9115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Connecticut Ave NW Ste 700",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200362657",
            "country_code": "US",
            "telephone_number": "240-283-5595",
            "fax_number": "801-421-9115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9701 Apollo Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "MD",
            "postal_code": "207744785",
            "country_code": "US",
            "telephone_number": "240-283-5595",
            "fax_number": "801-421-9115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1765 Greensboro Station Pl Ste 900",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221023470",
            "country_code": "US",
            "telephone_number": "240-283-5595",
            "fax_number": "801-421-9115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KEYONA",
        "middle_name": "SHANTRICE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC13986",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2555",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008086",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY200001288",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007740",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "07013",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "DC",
            "license": "PSY200001288",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362620200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038690138",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.