Anthony R. Thomas Jr., EDD
Individual provider Active NPI Mental Health Counselor · Apoka, FL
NPI 1245077007 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1245077007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH19120
- Practice address
- 3007 Weymouth CT.
Apoka, FL 32703 - Phone
- (813) 546-8793
- NPI assigned
- Jul 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH19120 | Yes |
Addresses
Primary practice location
3007 Weymouth CT.
Apoka, FL 32703
Mailing address
3007 Weymouth CT.
Apoka, FL 32703
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.