Mary Ann Thomas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

40 Eastern Ave
Unit 1
Malden, MA 02148

Phone

(617) 329-1253

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 30, 2025 through Jul 30, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mary Ann Thomas LMHC LLC

  • Mental Health Counselor
  • Burlington, MA
  • NPI 1679206577
  NPD Authorized official
• North Shore Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Salem, MA
  • NPI 1366582090
  NPD (past)
• Revive Counseling and Wellness Center

  • Clinical Social Worker
  • Malden, MA
  • NPI 1558969840

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1124302492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2176",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607176",
            "telephone_number": "781-496-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EASTERN AVE",
            "address_2": "UNIT 1",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "617-329-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARY ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josue Theosmy
• Andria Elizabeth Thomas
• Jessica Lynn Thomas, PT
• Laura Thomas, LPN
• Leam Thomas
• John C Thompson, DPT, PT
• Kaleena Thompson
• Krista Mary Thompson, M.P.T.
• Sara Tian, OTR/L
• Vincent Tieu

• Mental Health Counselor in Malden, MA
• Providers in Malden, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.