Channel Genise Thomas, M.ED,PLPC, NBCC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2017017134 Issued in MO

Practice address

7401 Florissant Rd
Saint Louis, MO 63121-4835

Phone

(314) 261-6011

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Ministering Among Righteous Youth

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1982123097
  NPD (past) Authorized official

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1235658345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 DURHAM DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631371353",
            "telephone_number": "314-565-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 FLORISSANT RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214835",
            "telephone_number": "314-261-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHANNEL",
        "middle_name": "GENISE",
        "name_prefix": "Ms.",
        "credential": "M.ED,PLPC, NBCC, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017017134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Thomas
• Anish James Thomas, M.D
• Benjamin Luke Thomas, CRNA
• Bernadine Thomas
• Brandi Thomas
• Charise Thomas
• Christopher D Thomas, MPT
• Chudney Thomas
• Cornell C Thomas, DDS
• David George Thomas, MD

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.