Active NPI
Thomas George Thurlow, MENTAL HEALTH COUNSE
- Counselor
- Brainerd, MN
National Provider Identifier
1154452027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00273
- Practice address
- 400 Quince St
Brainerd, MN 56401-4059 - Phone
- (218) 454-5316
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00273 | MN | Primary |
Addresses
Primary practice location
400 Quince St
Brainerd, MN 56401-4059
Mailing address
PO Box 71
Nisswa, MN 56468-0071
Phone (218) 963-7515
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 |
|---|---|---|---|
| 00273 | MN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154452027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"city": "NISSWA",
"state": "MN",
"postal_code": "564680071",
"telephone_number": "218-963-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 QUINCE ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564014059",
"telephone_number": "218-454-5316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURLOW",
"first_name": "THOMAS",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "MENTAL HEALTH COUNSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MN",
"license": "00273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.