Individual provider Active NPI

Jon Thomas, LCPC

  • Pastoral Counselor
  • Silver Spring, MD
National Provider Identifier
1356613392
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
LC4283 Issued in MD
Practice address
3509 Sheffield Manor Ter Apt 201
Silver Spring, MD 20904-7277
Phone
(301) 857-2937
NPI assigned
Feb 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X LC4283 MD Primary

Addresses

Primary practice location

3509 Sheffield Manor Ter Apt 201
Silver Spring, MD 20904-7277

Mailing address

3509 Sheffield Manor Ter Apt 201
Silver Spring, MD 20904-7277
Phone (301) 857-2937

Other identifiers 1

IdentifierTypeStateIssuer
050795400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604004376 MD Practitioner - Mental Health Counselor 5294206751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14205 Park Ctr Dr
Suite 201 202
Laurel, MD 20707

2257 Lobelia Ave
Upland, CA 91784-7386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC4283MDMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Jon Thomas Group, Inc. CurrentSince Nov 1, 2020 Accepting new patients

Locations

501 Sligo Ave
Silver Spring, MD 20910

Organizations & group practices 2

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": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1356613392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 SHEFFIELD MANOR TER APT 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047277",
            "telephone_number": "301-857-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 SHEFFIELD MANOR TER APT 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047277",
            "telephone_number": "301-857-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JON",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LC4283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050795400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.