Shelly Thomas, PMHNP-BC, APRN, RN.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1031013 Issued in TX

Practice address

2107 Presidio Cir
Euless, TX 76040-5722

Phone

(817) 946-9053

NPI assigned

Mar 1, 2021

Last updated

May 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Supportive Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Euless, TX
  • NPI 1023765286

  FL

  Medicare reassignment NPD Authorized official
• Cerebral Medical Group, a Professional Corporation

  • Psychiatry Physician
  • Glendale, CA
  • NPI 1992355879

  TX

  Medicare reassignment NPD
• Newlight Psychiatric Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
  • NPI 1477058691
  Medicare reassignment NPD
• Central Florida Psychotherapy Services LLC

  dba Psychotherapy Services of Newlight

  • Clinical Social Worker
  • Lakeland, FL
  • NPI 1689286809
  NPD

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1396330478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 PRESIDIO CIR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760405722",
            "telephone_number": "817-946-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PRESIDIO CIR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760405722",
            "telephone_number": "817-946-9053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5302 S Florida Ave # 200",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338134922",
            "country_code": "US",
            "telephone_number": "682-314-7353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHELLY",
        "credential": "PMHNP-BC, APRN, RN.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1031013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Netrans, LLC
• Amishi Thakkar
• The Wellness Center for Women P.a.
• Therapy Associates of Texas LLC
• James Edward Thesing, D.O.
• Tiara Thomas, OD
• Clayton Thompson, DC
• Jaime Thurston
• Barbara J Tichelbaut, LPCINTERN
• Florence P Tomasic

• Psychiatric/Mental Health Nurse Practitioner in Euless, TX
• Providers in Euless, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.