Individual provider Active NPI

Arraina Thomas, LPCC

  • Professional Counselor
  • Brooklyn Center, MN
National Provider Identifier
1376969246
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
00749 Issued in MN
Practice address
5701 Shingle Creek Pkwy Ste 550
Brooklyn Center, MN 55430-2475
Phone
(763) 560-9621
Fax
(635) 609-6277
NPI assigned
Mar 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 00749 MN Primary

Addresses

Primary practice location

5701 Shingle Creek Pkwy Ste 550
Brooklyn Center, MN 55430-2475

Mailing address

5701 Shingle Creek Pkwy Ste 550
Brooklyn Center, MN 55430-2475
Phone (763) 560-9621

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
00749MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Minnesota CurrentSince Jan 5, 2020 Accepting new patients
Behavior Health, LLC PastSince Jan 5, 2020 Accepting new patients

Locations

5701 Shingle Creek Pkwy
Ste 550
Minneapolis, MN 55430
Phone (763) 226-4177

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": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1376969246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 550",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302475",
            "telephone_number": "763-560-9621",
            "fax_number": "763-560-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 550",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302475",
            "telephone_number": "763-560-9621",
            "fax_number": "635-609-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ARRAINA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.