Active NPI
Kristina Thomas Therapy Services
- Adult Mental Health Clinic/Center
- Montgomery, IL
National Provider Identifier
1104491992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Thomas, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Social Worker
- Naperville, IL
- NPI 1548721673
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.