Individual provider Active NPI

Christopher Raheem Thomas, LBS

  • Behavior Analyst
  • Wyomissing, PA
National Provider Identifier
1386283075
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH004682 Issued in PA
Practice address
1125 Berkshire Blvd Ste 100
Wyomissing, PA 19610-1222
Phone
(610) 621-3444
NPI assigned
Dec 30, 2019
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH004682 PA Primary

Addresses

Primary practice location

1125 Berkshire Blvd Ste 100
Wyomissing, PA 19610-1222

Mailing address

2909D Wyoming Dr
Sinking Spring, PA 19608-1634
Phone (610) 621-3444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christopher.thomas@holcombbhs.org Direct Holcomb Behavioral Health Systems

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
BH004682PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Stars ABA, LLC Behavior Analyst Current Accepting new patients
Chapter Five Co Community/Behavioral Health CurrentSince Dec 29, 2024 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": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1386283075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909D WYOMING DR",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081634",
            "telephone_number": "610-621-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BERKSHIRE BLVD STE 100",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101222",
            "telephone_number": "610-621-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHRISTOPHER",
        "middle_name": "RAHEEM",
        "name_prefix": "Mr.",
        "credential": "LBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.thomas@holcombbhs.org",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Holcomb Behavioral Health Systems",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1011 Reed Ave Ste 900",
            "city": "Wyomissing",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196102002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.