Ronadee Marie Thornock, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMSW-40738 Issued in ID

Practice address

2300 N Yellowstone Hwy Ste 207
Idaho Falls, ID 83401-1652

Phone

(801) 719-7737

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Psychological Preventative Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Idaho Falls, ID
  • NPI 1649808767
  NPD

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1245807585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 DICKSON CIR E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023865",
            "telephone_number": "120-824-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N YELLOWSTONE HWY STE 207",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834011652",
            "telephone_number": "801-719-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNOCK",
        "first_name": "RONADEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-40738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda K Thomson, LCSW
• James Thomson, M.D.
• Makaila Jane Thormahlen
• Amy Diana Thornley, ACNP-BC
• Rex Delane Thornley, LCSW
• Thornton Family Chiropractic LLC
• Braden Thornton, DO
• Jared Kent Thornton, D.C.
• Jason M Thornton, CRNA
• Travis Thornton, LCSW

• Mental Health Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.