Disheena Marie Thomas, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC015180 Issued in PA

Practice address

653 Skippack Pike Ste 300-43
Blue Bell, PA 19422-1742

Phone

(215) 948-9454

NPI assigned

Jan 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

• Abundant Life Holistic Wellness

  • Mental Health Counselor
  • Blue Bell, PA
  • NPI 1730952037
  NPD Authorized official

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1205542917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LIMEKILN PIKE STE B19",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251503",
            "telephone_number": "267-252-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 SKIPPACK PIKE STE 300-43",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221742",
            "telephone_number": "215-948-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DISHEENA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC015180",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015180",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC015180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Center for Healing Self and Relationships
• The Giant Company, LLC (Giant Pharmacy #6091)
• The Relationship Center
• Kathryn Therrien, LPC, LMHC
• Thomas Backenstose DMD Inc
• Tasha M Thomas, LSW
• Julia C Tiernan, MD
• Jillian Garcia Toale, LPC, CAADC
• Erika Joyce Todaro, LPC
• Caroline Todd

• Mental Health Counselor in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.