Active NPI
Lakesha Thomas
- Mental Health Counselor
- San Bernardino, CA
National Provider Identifier
1114286499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW85515
- Practice address
- 570 W 4TH St
San Bernardino, CA 92401-1405 - Phone
- (909) 804-8877
- NPI assigned
- May 8, 2012
- Last updated
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW85515 | CA | |
| Mental Health Counselor | 101YM0800X | LCSW85515 | CA | Primary |
Addresses
Primary practice location
570 W 4TH St
San Bernardino, CA 92401-1405
Mailing address
224 S Palm Ave
Rialto, CA 92376-6408
Other practice location 1
303 E Vanderbilt Way
San Bernardino, CA 92415-0026
Phone (909) 501-0700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW85515 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seneca Family of Agencies | Past | Accepting new patients | |
| Seneca Family of Agencies | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CCC Community Based Services
- Community/Behavioral Health Agency
- Concord, CA
- NPI 1073643680
-
- Community/Behavioral Health Agency
- Anaheim, CA
- NPI 1174801690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1114286499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 S PALM AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923766408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 W 4TH ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011405",
"telephone_number": "909-804-8877"
}
],
"practiceLocations": [
{
"address_1": "303 E Vanderbilt Way",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924150026",
"country_code": "US",
"telephone_number": "909-501-0700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "LAKESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-08",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW85515",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCSW85515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.