Active NPI
Kentrell Thomas, BSW
- Mental Health Counselor
- Decatur, AL
National Provider Identifier
1407201700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4110 US Highway 31 S
Decatur, AL 35603-1644 - Phone
- (256) 260-1691
- Fax
- (256) 341-0747
- NPI assigned
- Apr 25, 2016
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
4110 US Highway 31 S
Decatur, AL 35603-1644
Mailing address
1316 Somerville Rd SE
Suite 1
Decatur, AL 35601-4305
Phone (256) 260-7361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260625000228 | AL | Practitioner - Clinical Social Worker | 9830662410 | Practice locations: Moundville, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Moundville, AL 35474
Phone (256) 384-5510
825 6TH Ave S
Apt 767
Nashville, TN 37203-7581
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Center of North Central Alabama Inc. | Past | Accepting new patients | |
| Mental Health Center of North Central Alabama | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Decatur, AL
- NPI 1780859314
-
- Community/Behavioral Health Agency
- Decatur, AL
- NPI 1124193636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1407201700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 SOMERVILLE RD SE",
"address_2": "SUITE 1",
"city": "DECATUR",
"state": "AL",
"postal_code": "356014305",
"telephone_number": "256-260-7361",
"fax_number": "256-341-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 US HIGHWAY 31 S",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031644",
"telephone_number": "256-260-1691",
"fax_number": "256-341-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KENTRELL",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-25",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.