Maryam Jearbell Thomas, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CI5451 Issued in NV

Practice address

3131 W Charleston Blvd
Las Vegas, NV 89102-1979

Phone

(435) 705-7574

Fax

(435) 249-7010

NPI assigned

Sep 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mindful Health Adolescent & Adult Counseling, LLC

  • Professional Counselor
  • Wyoming, MI
  • NPI 1639894405
  NPD Authorized official
• Crimson Heights LLC

  • Community/Behavioral Health Agency
  • St George, UT
  • NPI 1457863771
  NPD (past)

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1154090124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 E 600 S",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703949",
            "telephone_number": "435-705-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021979",
            "telephone_number": "435-705-7574",
            "fax_number": "435-249-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481089505",
            "country_code": "US",
            "telephone_number": "616-321-0579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARYAM",
        "middle_name": "JEARBELL",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-12",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451019792",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI5451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6451019792",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ada",
            "affiliation": "N",
            "endpointDescription": "Ada",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4764 Fulton St E Ste 204",
            "city": "Ada",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493019086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marinda Thomas
• Marisa Thomas
• Mark R Thomas Jr.
• Mary Thomas
• Mary E Thomas, LMSW, CSW-INTERN
• Maurice Thomas
• Meghan Thomas, LMFT-I
• Melelani-Alanajo Andrez Thomas
• Melissa Thomas
• Melissa Marie Thomas

• Professional Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.