Jeanetta Ruth Thomas, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4634C Issued in AL

Practice address

713 Keeling Rd
Gadsden, AL 35903-3827

Phone

(256) 504-2501

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeanettathomas@tdh.allscriptsdirect.net

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.

• Quality of Life Health Services Inc

  dba Quality of Life Health Complex

  • Community Health Clinic/Center
  • Gadsden, AL
  • NPI 1447200977
  Medicare reassignment NPD
• Holistic Healing Counseling and Life Coaching

  • Professional Counselor
  • Gadsden, AL
  • NPI 1235810706
  Authorized official Same address or phone
• Quality of Life Health Services, Inc

  dba Calhoun Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Anniston, AL
  • NPI 1013339209
  NPD
• Quality of Life Health Services, Inc

  dba Cleburne Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Heflin, AL
  • NPI 1467620989
  NPD
• Quality of Life Health Services, Inc

  dba Anniston Quality Health Care

  • Community Health Clinic/Center
  • Anniston, AL
  • NPI 1568412666
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1144812314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 KEELING RD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359033827",
            "telephone_number": "256-504-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 KEELING RD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359033827",
            "telephone_number": "256-504-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEANETTA",
        "middle_name": "RUTH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4634C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "4634C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapy South Gadsden LLC
• Thirteenth Place, Inc.
• Thomas C Peterson M.D., P. a.
• Thomas R. Corley, M.D., LLC
• Christina S Thomas, OTA
• Terisa Ann Thomas, M.D.
• Thompson Counseling
• Deborah W Thompson, CRNP
• Jana S. Thompson, CRNA
• Marcus Anthony Thomson, PT

• Mental Health Counselor in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.