Individual provider Active NPI

Kaisha A Thomas, PHD, LMHC, LMFT, SAP

  • Marriage & Family Therapist
  • West Palm Beach, FL
National Provider Identifier
1184820946
Registry record updated Mar 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT 2041 Issued in FL
Practice address
1555 Palm Beach Lakes Blvd
Suite #405
West Palm Beach, FL 33401-2323
Phone
(561) 288-0114
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT 2041 FL Primary
Mental Health Counselor 101YM0800X MH 7384 FL

Addresses

Primary practice location

1555 Palm Beach Lakes Blvd
Suite #405
West Palm Beach, FL 33401-2323

Mailing address

1555 Palm Beach Lakes Blvd
Suite # 405
West Palm Beach, FL 33401-2323
Phone (561) 288-0114

Other identifiers 1

IdentifierTypeStateIssuer
7670516MedicaidFL

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH 7384FLMDMental Health Counselor
MT 2041FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saving Lives Counseling Center Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301097600000",
    "number": "1184820946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PALM BEACH LAKES BLVD",
            "address_2": "SUITE # 405",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012323",
            "telephone_number": "561-288-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 PALM BEACH LAKES BLVD",
            "address_2": "SUITE #405",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012323",
            "telephone_number": "561-288-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KAISHA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC, LMFT, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2011-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2041",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 7384",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7670516",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2011; 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.