Active NPI
Deangelo Thomas
- Mental Health Counselor
- Pontiac, MI
National Provider Identifier
1316716483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1136 Carpenter Dr
Pontiac, MI 48340-3313 - Phone
- (248) 818-1189
- NPI assigned
- Dec 29, 2023
- Last updated
- Dec 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AZ | Primary |
Addresses
Primary practice location
1136 Carpenter Dr
Pontiac, MI 48340-3313
Mailing address
1136 Carpenter Dr
Pontiac, MI 48340-3313
Phone (248) 818-1189
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1316716483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 CARPENTER DR",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483403313",
"telephone_number": "248-818-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 CARPENTER DR",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483403313",
"telephone_number": "248-818-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DEANGELO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-29",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.