Active NPI
Thomas W Query, LPC
- Professional Counselor
- Roswell, GA
National Provider Identifier
1174777353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001531
- Practice address
- 700 Old Roswell Lakes Pkwy
Suite 300
Roswell, GA 30076 - Phone
- (770) 587-4736
- Fax
- (678) 802-2116
- NPI assigned
- Nov 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001531 | GA | Primary |
Addresses
Primary practice location
700 Old Roswell Lakes Pkwy
Suite 300
Roswell, GA 30076
Mailing address
700 Old Roswell Lakes Parkway
Suite 300
Roswell, GA 30076-1693
Phone (770) 587-4736
Other practice location 1
321 W Hill St Ste 2D
Decatur, GA 30030-4362
Phone (770) 861-0094
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1174777353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 OLD ROSWELL LAKES PARKWAY",
"address_2": "SUITE 300",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761693",
"telephone_number": "770-587-4736",
"fax_number": "678-802-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 OLD ROSWELL LAKES PKWY",
"address_2": "SUITE 300",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "770-587-4736",
"fax_number": "678-802-2116"
}
],
"practiceLocations": [
{
"address_1": "321 W Hill St Ste 2D",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300304362",
"country_code": "US",
"telephone_number": "770-861-0094",
"fax_number": "678-802-2116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUERY",
"first_name": "THOMAS",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-14",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "001531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.