Active NPI
Janet Theresa Thomas, PSY.D.
- Counseling Psychologist
- Saint Paul, MN
National Provider Identifier
1275510273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP1864
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031121000170 | MN | Practitioner - Clinical Psychologist | 4789588757 | Practice locations: St Paul, MN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1864 | MN | MD | Counseling Psychologist |
| 1864 | MN | MD | Optometrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.