Active NPI
Deborah J Thomas, MA LPC
- Professional Counselor
- Lebanon, PA
National Provider Identifier
1316921950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 003503PA
- Practice address
- 408 N 15TH Ave
Lebanon, PA 17046 - Phone
- (717) 274-9682
- Fax
- (717) 274-9549
- NPI assigned
- Dec 6, 2005
- Last updated
- Jul 11, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CO3404 | CO | |
| Counselor | 101Y00000X | 003503PA | PA | |
| Professional Counselor | 101YP2500X | C03404 | CO | |
| Professional Counselor | 101YP2500X | 003503PA | PA | Primary |
Addresses
Primary practice location
408 N 15TH Ave
Lebanon, PA 17046
Mailing address
200 North 7TH St
Lebanon, PA 17046
Phone (717) 273-1710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103425680 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO3404 | CO | MD | Counselor |
| C03404 | CO | MD | Professional Counselor |
| 003503PA | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1316921950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NORTH 7TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "17046",
"telephone_number": "717-273-1710",
"fax_number": "717-273-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N 15TH AVE",
"city": "LEBANON",
"state": "PA",
"postal_code": "17046",
"telephone_number": "717-274-9682",
"fax_number": "717-274-9549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DEBORAH",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "CO3404",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "003503PA",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "C03404",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "003503PA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103425680",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
- The Good Samaritan Hospital of Lebanon, Pennsylvania (WellSpan Good Samaritan Hospital)
- The Good Samaritan Hospital of Lebanon, Pennsylvania (WellSpan Good Samaritan Hospital)
- The Good Samaritan Hospital of Lebanon, Pennsylvania (WellSpan Good Samaritan Hospital)
- The Good Samaritan Hospital of Lebanon, Pennsylvania (WellSpan Good Samaritan Hospital)
- The Healing Voice, LLC (The Healing Voice)
- Joel Thomas, CADC
- Kasey Thomas, DMD
- Ann S Thompson, RN
- Margo Renee Thompson, PA-C
- Rachel Thompson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.