Active NPI
Clinton Earl Thomas, L.P.C.
- Professional Counselor
- Blue Springs, MO
National Provider Identifier
1437374337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2002020528
- Practice address
- 1200 S. Outer Rd. Suite 330
Blue Springs, MO 64015 - Phone
- (913) 345-0033
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2002020528 | MO | Primary |
Addresses
Primary practice location
1200 S. Outer Rd. Suite 330
Blue Springs, MO 64015
Mailing address
118201 E. 2TH St. CT.
Independence, MO 64057
Phone (816) 795-9576
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 21, 2026 through Apr 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002020528 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437374337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118201 E. 2TH ST. CT.",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "64057",
"telephone_number": "816-795-9576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S. OUTER RD. SUITE 330",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "64015",
"telephone_number": "913-345-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CLINTON",
"middle_name": "EARL",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2002020528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.