Active NPI
Suja Mary Thomas, M. ED., LPC
- Professional Counselor
- Carrollton, TX
National Provider Identifier
1447686084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62919
- Practice address
- 4100 Fairway Dr Ste 200
Carrollton, TX 75010-6527 - Phone
- (972) 221-1741
- NPI assigned
- Sep 14, 2013
- Last updated
- Sep 14, 2013
- Sex
- Female
- 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 | 62919 | TX | Primary |
Addresses
Primary practice location
4100 Fairway Dr Ste 200
Carrollton, TX 75010-6527
Mailing address
1008 Alameda Dr
Carrollton, TX 75007-5093
Phone (469) 471-2433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62919 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379116800000",
"number": "1447686084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 ALAMEDA DR",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075093",
"telephone_number": "469-471-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 FAIRWAY DR STE 200",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750106527",
"telephone_number": "972-221-1741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SUJA",
"middle_name": "MARY",
"credential": "M. ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-14",
"last_updated": "2013-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.