Jennifer Lynne Thomas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CG60639835 Issued in WA

Practice address

3285 Ferguson Street SW
Tumwater, WA 98512

Phone

(360) 943-1907

NPI assigned

Jul 11, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1164074993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14339",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985114339",
            "telephone_number": "360-943-1907",
            "fax_number": "360-943-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 FERGUSON STREET SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "360-943-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60639835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CG60639835",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthomas@telecarecorp.com",
            "affiliation": "N",
            "address_1": "3285 Ferguson Street SW",
            "city": "Tumwater",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Anela Nalanipihaola Thomas-Tomich
• Benjamin Dylan Thomas, PH.D.
• Christina Thompson, LMHC, MS
• Lisa Thompson, MA LMHC
• Loreli Thompson, DOCTOR
• Sawndra Thurston
• Lindsay Anna Tirko, LMP

• Mental Health Counselor in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.