Thomas Wayne Washburn, PSYD, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2007022666 Issued in MO

Practice address

704 Historic 66 W
Waynesville, MO 65583-2136

Phone

(573) 528-2654

NPI assigned

May 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hope Connections, LLCGroup PAC ID 6507250677, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Hope Connections, LLC

  • Professional Counselor
  • Waynesville, MO
  • NPI 1548686066
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1396902029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 HISTORIC 66 W",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832136",
            "telephone_number": "573-528-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HISTORIC 66 W",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832136",
            "telephone_number": "573-528-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PSYD, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2007022666",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007022666",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2007022666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia C. Udoji, PHARM.D.
• Loridana Valcourt-Frage, MS, RD, LD/N
• Sarah J Wagner
• Rebecca Jean Wanosik, CPM
• Shawn Warren
• Waynesville Medical Investors, LLC (Life Care Center of Waynesville)
• Waynesville Physical Therapy
• Waynesville R-VI School District
• Jacqueline S. Welborn, MA, PLPC, CSACII
• Amanda White, AUD

• Mental Health Counselor in Waynesville, MO
• Providers in Waynesville, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.