Active NPI
Aimee Thomas, PH.D., JD LPCC
- Psychologist
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6989
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10034 | Medicaid | OH | |
| 10024 | Medicaid | OH |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| E3352 | OH | MD | Mental Health Counselor |
| 6989 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Family Center, LTD. | Mental Health | Current | 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.
-
- Mental Health Counselor
- Canton, OH
- NPI 1043786882
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.