Individual provider Active NPI

Jessica Thomas, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1336615160
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010802 Issued in NY
Practice address
41 Flatbush Ave Ste 1
Brooklyn, NY 11217-1145
Phone
(917) 426-1329
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X P09373 NY
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 010802 NY Primary

Addresses

Primary practice location

41 Flatbush Ave Ste 1
Brooklyn, NY 11217-1145

Mailing address

41 Flatbush Ave Ste 1
Brooklyn, NY 11217-1145
Phone (917) 426-1329

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

State licenses

LicenseStateTypeSpecialty
010802NYMDMental Health Counselor
P09373NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mymindset Nyc Mental Health Counseling Services PLLC Mental Health Current Accepting new patients

Locations

41 Flatbush Ave
Ste 1
Brooklyn, NY 11217
Phone (562) 622-2800

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1336615160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FLATBUSH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171145",
            "telephone_number": "917-426-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FLATBUSH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171145",
            "telephone_number": "917-426-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P09373",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.