Active NPI
Ronieka Thomas, LAC
- Mental Health Counselor
- Lyndhurst, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00343600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00343600 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Behavioral Health P.C | Current | Accepting new patients | |
| NJ Behavioral Health Services PC | Current | Accepting new patients | |
| PHC of Buffalo Grove Clinical Psychology | Past | 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
- 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.
-
- Clinical Psychologist
- Paramus, NJ
- NPI 1447289376
-
- Psychologist
- Princeton Junction, NJ
- NPI 1538744297
-
- Psychologist
- Vernon Hills, IL
- NPI 1235430612
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
- The Social Scene - a Club for Adults With Special Needs LLC
- The Stop & Shop Supermarket Company LLC
- Theraflex Physical Therapy LLC
- Theraphysical, LLC
- Therapy & Life Skills Counseling LLC
- Top Rehab Care LLC
- Tiffany Dionne Torres I
- Total Body Physical Therapy LLC
- Township of Lyndhurst
- Township of Lyndhurst/Parks Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.