Individual provider Active NPI

Susan Jeanette Thomas, M.A., PLMHP

  • Mental Health Counselor
  • Fairbury, NE
National Provider Identifier
1225229933
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8395 Issued in NE
Practice address
510 D St
Ste. 2
Fairbury, NE 68352-2318
Phone
(402) 729-6379
Fax
(402) 729-4094
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8395 NE Primary
School Counselor 101YS0200X 2006004717 NE

Addresses

Primary practice location

510 D St
Ste. 2
Fairbury, NE 68352-2318

Mailing address

510 D St
Ste. 2
Fairbury, NE 68352-2318
Phone (402) 729-6379

Other identifiers 1

IdentifierTypeStateIssuer
8395OtherNEDEPT OF HHS-LICENSURE

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
8395NEMDMental Health Counselor
2006004717NEMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Clinic PC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1225229933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 D ST",
            "address_2": "STE. 2",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683522318",
            "telephone_number": "402-729-6379",
            "fax_number": "402-729-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 D ST",
            "address_2": "STE. 2",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683522318",
            "telephone_number": "402-729-6379",
            "fax_number": "402-729-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUSAN",
        "middle_name": "JEANETTE",
        "name_prefix": "Mr.",
        "credential": "M.A., PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "8395",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NE",
            "license": "2006004717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HHS-LICENSURE",
            "identifier": "8395",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbury, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.