Organization Active NPI

Kristina Thomas Therapy Services

  • Adult Mental Health Clinic/Center
  • Montgomery, IL
National Provider Identifier
1104491992
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KRISTINA THOMAS THERAPY SERVICES
Practice address
2819 Troon Dr
Montgomery, IL 60538-5020
Phone
(630) 770-5871
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Kristina Thomas, LCSWNPI 1548721673
Title
Owner/Therapist
Phone
(331) 725-7254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2819 Troon Dr
Montgomery, IL 60538-5020

Mailing address

1911 W Wilson St Ste a
Batavia, IL 60510-1680
Phone (331) 725-7224

Other practice location 1

2819 Troon Dr
Montgomery, IL 60538
Phone (331) 725-7254

National Provider Directory

National Provider Directory

Locations

1911 W Wilson St
Batavia, IL 60510
Phone (331) 444-2427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1104491992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 W WILSON ST STE A",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101680",
            "telephone_number": "331-725-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 TROON DR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605385020",
            "telephone_number": "630-770-5871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2819 Troon Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "IL",
            "postal_code": "60538",
            "country_code": "US",
            "telephone_number": "331-725-7254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTINA THOMAS THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "331-725-7254",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.