Individual provider Active NPI

Jennifer McCain Thomas, PH.D.

  • Clinical Psychologist
  • Winston-Salem, NC
National Provider Identifier
1265547665
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2610 Issued in NC
Practice address
Associates in Christian Counseling
8025 North Point Boulevard, Suite 231
Winston-Salem, NC 27106-3262
Phone
(336) 896-0065
Fax
(336) 896-0710
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2610 NC Primary

Addresses

Primary practice location

Associates in Christian Counseling
8025 North Point Boulevard, Suite 231
Winston-Salem, NC 27106-3262

Mailing address

Associates in Christian Counseling
8025 North Point Boulevard, Suite 231
Winston-Salem, NC 27106-3262
Phone (336) 896-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2610NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Christian Counseling Clinical Past Accepting new patients

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1265547665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ASSOCIATES IN CHRISTIAN COUNSELING",
            "address_2": "8025 NORTH POINT BOULEVARD, SUITE 231",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271063262",
            "telephone_number": "336-896-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASSOCIATES IN CHRISTIAN COUNSELING",
            "address_2": "8025 NORTH POINT BOULEVARD, SUITE 231",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271063262",
            "telephone_number": "336-896-0065",
            "fax_number": "336-896-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNIFER",
        "middle_name": "MCCAIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.