Mary Carmen Thomas LPC, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68345 Issued in TX

Legal business name

MARY CARMEN THOMAS LPC, PLLC

Practice address

315 W Nolana Ave
# C
McAllen, TX 78504-2541

Phone

(956) 627-2487

Fax

(956) 627-3528

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Carmen Stivalet-Thomas, LPC

Title

Counselor/Managing Member

Phone

(956) 627-2487

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1245647379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W NOLANA AVE",
            "address_2": "# C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042541",
            "telephone_number": "956-627-2487",
            "fax_number": "956-627-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W NOLANA AVE",
            "address_2": "# C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042541",
            "telephone_number": "956-627-2487",
            "fax_number": "956-627-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CARMEN THOMAS LPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "STIVALET-THOMAS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "COUNSELOR/MANAGING MEMBER",
        "authorized_official_telephone_number": "956-627-2487",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315767901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in McAllen, TX
• Providers in McAllen, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.