Thelma Broxey-Thomas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH577 Issued in FL

Practice address

1463 Oakfield Dr Ste 130
Brandon, FL 33511-0802

Phone

(813) 655-4166

NPI assigned

Dec 31, 2014

Last updated

Feb 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supporting Bright Stars, LLC

  dba Family Therapy Solutions

  • Early Intervention Provider Agency
  • Brandon, FL
  • NPI 1316187032
  NPD (past)

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1275921074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 OAKFIELD DR STE 130",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335110802",
            "telephone_number": "813-655-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 OAKFIELD DR STE 130",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335110802",
            "telephone_number": "813-655-4166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 1st St S",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803904",
            "country_code": "US",
            "telephone_number": "863-293-1121 x5764",
            "fax_number": "863-291-6753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROXEY-THOMAS",
        "first_name": "THELMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Brown, SLP
• Suzanne Brown
• Thraese Brown, ARNP-C
• Kharene Browne
• Alice Browning, RBT
• Kayla Brubaker, MD
• Bruce D. Waterman, DMD,PA
• Bruce Waterman DMD, Sleep Ez,PL
• Charlotte D Bruce, LPTA
• David Bruck, DDS

• Mental Health Counselor in Brandon, FL
• Providers in Brandon, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.