Individual provider Active NPI

Geoffrey Thomas

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1407360720
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60982480 Issued in WA
Practice address
5306 Ballard Ave NW Ste 212
Seattle, WA 98107-4366
Phone
(206) 403-1148
Fax
(206) 800-1091
NPI assigned
Nov 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 LH60982480 WA Primary

Addresses

Primary practice location

5306 Ballard Ave NW Ste 212
Seattle, WA 98107-4366

Mailing address

3722 S Hudson St
Seattle, WA 98118-1920

Other practice location 1

3722 S Hudson St
Seattle, WA 98118-1920
Phone (206) 721-5542 ext. 15

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 15, 2025 through Apr 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60982480WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive for the People, PLLC PastSince Apr 13, 2025 Accepting new patients
Southeast Youth and Family Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1407360720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 S HUDSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 BALLARD AVE NW STE 212",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074366",
            "telephone_number": "206-403-1148",
            "fax_number": "206-800-1091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3722 S Hudson St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981181920",
            "country_code": "US",
            "telephone_number": "206-721-5542 x15",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GEOFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-22",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60982480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.