Tanisha Nicole Thomas

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.106456 Issued in IL

Practice address

1150 Highland Ave
Oak Park, IL 60304-2243

Phone

(786) 239-5280

NPI assigned

Feb 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Grace Couple and Family Therapy

  • Marriage & Family Therapist
  • Oak Park, IL
  • NPI 1831735950
  NPD (past)

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1336892017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22331 PICCADILLY CT",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HIGHLAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042243",
            "telephone_number": "786-239-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TANISHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.106456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Thomas
• Chris T Thomas, DDS
• Elizabeth Thomas, LCSW
• John Thomas, PT
• Lynn B Thomas
• Teena Thomas
• Elizabeth Ann Thompson, M.D.
• Jennifer Clare Thompson, PSYD
• Jill Elizabeth Thompson, LCPC
• Jillian M Thompson, PT

• Social Worker in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.