Organization Active NPI

Tracy W Thomas, LPC PLLC

  • Community/Behavioral Health Agency
  • Marshall, TX
National Provider Identifier
1144686726
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
19851 Issued in TX
Legal business name
TRACY W THOMAS, LPC PLLC
Practice address
301 N Alamo Blvd
Marshall, TX 75670-3455
Phone
(903) 407-9701
Fax
(888) 845-9293
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Mr. Tracy Wayne Thomas, LPC-SNPI 1932320942
Title
Licensed Professional Counselor
Phone
(903) 407-9701

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 19851 TX Primary

Addresses

Primary practice location

301 N Alamo Blvd
Marshall, TX 75670-3455

Mailing address

301 N Alamo Blvd
Marshall, TX 75670-3455
Phone (903) 407-9701

Other identifiers 1

IdentifierTypeStateIssuer
176240301MedicaidTX

National Provider Directory

National Provider Directory

Locations

301 N Alamo Blvd
Marshall, TX 75670
Phone (903) 407-9701

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": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1144686726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N ALAMO BLVD",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756703455",
            "telephone_number": "903-407-9701",
            "fax_number": "888-845-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N ALAMO BLVD",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756703455",
            "telephone_number": "903-407-9701",
            "fax_number": "888-845-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY W THOMAS, LPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "903-407-9701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "19851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176240301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.