Individual provider Active NPI

Linda L. Nace-Thomas, MS,LSW,PC

  • Professional Counselor
  • Centerville, OH
National Provider Identifier
1366620387
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.0501378 Issued in OH
Practice address
77 W Elmwood Dr
Suite 202
Centerville, OH 45459-4239
Phone
(937) 436-0700
Fax
(937) 424-5749
NPI assigned
Jan 31, 2008
Last updated
Aug 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.0501378 OH Primary
Social Worker 104100000X S24336 OH

Addresses

Primary practice location

77 W Elmwood Dr
Suite 202
Centerville, OH 45459-4239

Mailing address

77 W Elmwood Dr
Suite 202
Centerville, OH 45459-4239
Phone (937) 436-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250326000598 OH Practitioner - Mental Health Counselor 5092238543 Practice locations: Dayton, OH

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7071 Corporate Way
Suite 203
Dayton, OH 45459-4245
Phone (937) 439-0520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C.0501378OHMDProfessional Counselor
S24336OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia J. Hayes, Psy.D Associates Past Accepting new patients
A. Davis, MSW, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1366620387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR",
            "address_2": "SUITE 202",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594239",
            "telephone_number": "937-436-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR",
            "address_2": "SUITE 202",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594239",
            "telephone_number": "937-436-0700",
            "fax_number": "937-424-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACE-THOMAS",
        "first_name": "LINDA",
        "middle_name": "L.",
        "credential": "MS,LSW,PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0501378",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S24336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.