Individual provider Active NPI

Aimee Thomas, PH.D., JD LPCC

  • Psychologist
  • Canton, OH
National Provider Identifier
1245394998
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6989 Issued in OH
Practice address
408 9TH St SW Ste 1610
Canton, OH 44707-4714
Phone
(330) 305-2753
Fax
(330) 639-2753
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E3352 OH
Psychologist 103T00000X 6989 OH Primary
Mental Health Counselor 101YM0800X E3352 OH
Professional Counselor 101YP2500X E3352 OH

Addresses

Primary practice location

408 9TH St SW Ste 1610
Canton, OH 44707-4714

Mailing address

408 9TH St SW Ste 1610
Canton, OH 44707-4714
Phone (330) 305-2753

Other practice location 1

2795 Front St
Suite A
Cuyahoga Falls, OH 44221-1900
Phone (330) 945-7100

Other identifiers 2

IdentifierTypeStateIssuer
10034MedicaidOH
10024MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719003239 OH Practitioner - Clinical Psychologist 8628510625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4111 Bradley Cir NW
Suite 150
Canton, OH 44718-2563
Phone (330) 305-2753

4526 Stow Rd
Stow, OH 44224-1847
Phone (330) 305-2753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E3352OHMDMental Health Counselor
6989OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Family Center, LTD. Mental Health CurrentSince Apr 29, 2024 Accepting new patients

Locations

408 9th St SW
Ste 1610
Canton, OH 44707
Phone (330) 305-2753

2416 Whipple Ave NW
Canton, OH 44708
Phone (330) 305-2753

4526 Stow Rd
Stow, OH 44224
Phone (330) 305-2753

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1245394998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 9TH ST SW STE 1610",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447074714",
            "telephone_number": "330-305-2753",
            "fax_number": "330-639-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 9TH ST SW STE 1610",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447074714",
            "telephone_number": "330-305-2753",
            "fax_number": "330-639-2753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2795 Front St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442211900",
            "country_code": "US",
            "telephone_number": "330-945-7100",
            "fax_number": "330-945-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AIMEE",
        "name_prefix": "Dr.",
        "credential": "PH.D., JD LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E3352",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6989",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E3352",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10034",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.