Individual provider Active NPI

Ronieka Thomas, LAC

  • Mental Health Counselor
  • Lyndhurst, NJ
National Provider Identifier
1396399341
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00343600 Issued in NJ
Practice address
1050 Wall St W Ste 310
Lyndhurst, NJ 07071-3615
Phone
(732) 982-2888
Fax
(847) 859-5885
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00343600 NJ Primary

Addresses

Primary practice location

1050 Wall St W Ste 310
Lyndhurst, NJ 07071-3615

Mailing address

175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone (847) 737-8768

Other practice location 1

1055 Parsippany Blvd Ste 404
Parsippany, NJ 07054-1272
Phone (732) 982-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250623001944 NJ Practitioner - Marriage and Family Therapist 4183136526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00343600NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Behavioral Health P.C CurrentSince Jan 1, 2023 Accepting new patients
NJ Behavioral Health Services PC CurrentSince Jun 2, 2025 Accepting new patients
PHC of Buffalo Grove Clinical Psychology PastSince Feb 25, 2019 Accepting new patients

Locations

1050 Wall St W
Ste 310
Lyndhurst, NJ 07071
Phone (201) 635-1003

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

1055 Parsippany Blvd
Ste 404
Parsippany, NJ 07054
Phone (847) 737-8768

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.roniekathomas@148376.advancedmd-direct.com

Organizations & group practices 3

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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1396399341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HAWTHORN PKWY STE 235",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611454",
            "telephone_number": "847-737-8768",
            "fax_number": "847-859-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WALL ST W STE 310",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713615",
            "telephone_number": "732-982-2888",
            "fax_number": "847-859-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Parsippany Blvd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070541272",
            "country_code": "US",
            "telephone_number": "732-982-2888",
            "fax_number": "847-859-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RONIEKA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00343600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.