Organization Active NPI

Christina Thomason, PLLC

Doing business as Acacia: A Place for Personal & Family Development

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1437775145
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHRISTINA THOMASON, PLLC
Doing business as
Acacia: A Place for Personal & Family Development
Practice address
3315 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone
(269) 281-3886
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Christina ThomasonNPI 1750822268
Title
Owner
Phone
(269) 281-3886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3315 Greenleaf Blvd
Kalamazoo, MI 49008-2516

Mailing address

3315 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone (269) 281-3886

Other names 1

  • Acacia: A Place for Personal & Family Development Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christina@acaciakzoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526000637 MI Part B Supplier - Clinic/Group Practice 3173922069 Receives reassigned benefits from 2 practitioners
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

3315 Greenleaf Blvd
Kalamazoo, MI 49008
Phone (269) 281-3886

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1437775145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 GREENLEAF BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082516",
            "telephone_number": "269-281-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 GREENLEAF BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082516",
            "telephone_number": "269-281-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA THOMASON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-281-3886"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina@acaciakzoo.com",
            "affiliation": "N",
            "address_1": "3315 Greenleaf Blvd",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490082516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Acacia: A Place for Personal & Family Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.