Individual provider Active NPI

Janet Theresa Thomas, PSY.D.

  • Counseling Psychologist
  • Saint Paul, MN
National Provider Identifier
1275510273
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP1864 Issued in MN
Practice address
614 Portland Ave
Suite 116
Saint Paul, MN 55102-2272
Phone
(651) 291-2737
Fax
(651) 291-2728
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LP1864 MN Primary

Addresses

Primary practice location

614 Portland Ave
Suite 116
Saint Paul, MN 55102-2272

Mailing address

614 Portland Ave
Suite 116
Saint Paul, MN 55102-2223
Phone (651) 291-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20031121000170 MN Practitioner - Clinical Psychologist 4789588757 Practice locations: St Paul, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP1864MNMDCounseling Psychologist
1864MNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275510273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 PORTLAND AVE",
            "address_2": "SUITE 116",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022223",
            "telephone_number": "651-291-2737",
            "fax_number": "651-291-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 PORTLAND AVE",
            "address_2": "SUITE 116",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022272",
            "telephone_number": "651-291-2737",
            "fax_number": "651-291-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JANET",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.