Individual provider Active NPI

Elizabeth Marie Thomas, MA, LCMHC

  • Professional Counselor
  • Elizabeth City, NC
National Provider Identifier
1104056753
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7456 Issued in NC
Practice address
425 McArthur Dr Ste B
Elizabeth City, NC 27909-4566
Phone
(252) 331-2421
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7456 NC Primary

Addresses

Primary practice location

425 McArthur Dr Ste B
Elizabeth City, NC 27909-4566

Mailing address

425 McArthur Dr Ste B
Elizabeth City, NC 27909-4566
Phone (252) 331-2421

Other identifiers 1

IdentifierTypeStateIssuer
6104304MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 24, 2024 through Jan 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7456NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Counseling PC CurrentSince Jan 26, 2025 Accepting new patients
Lisa B Creef LCSW, PC PastSince Jan 1, 2009 Accepting new patients

Locations

425 McArthur Dr
Ste B
Elizabeth City, NC 27909
Phone (252) 331-2421

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1104056753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MCARTHUR DR STE B",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094566",
            "telephone_number": "252-331-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MCARTHUR DR STE B",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094566",
            "telephone_number": "252-331-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "MA, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104304",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.