Kevin Shevon Thomas

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12392 Issued in CA

Practice address

600 W Santa Ana Blvd Ste 109
Santa Ana, CA 92701-4582

Phone

(714) 667-7926

NPI assigned

Dec 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pes-Ebs.Inc.

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1851763882
  NPD
• American Indian Changing Spirits

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
  • NPI 1780012674
  NPD (past)

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1457061129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W WILLIAMS ST BLDG 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103636",
            "telephone_number": "562-388-8118",
            "fax_number": "562-388-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014582",
            "telephone_number": "714-667-7926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 W Williams St Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908103636",
            "country_code": "US",
            "telephone_number": "562-388-8118",
            "fax_number": "562-388-8117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KEVIN",
        "middle_name": "SHEVON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "12392",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kthomas@changingspirits.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2120 W Williams St Bldg 2",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908103636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas H. Okamoto, M.D., Inc.
• Thomas Okamoto, M.D., Inc
• Vanessa M. Thomas-Burns
• Alissa Thomas
• Jonathan Frank Thomas, RADT1, CAODC
• Lindsey Thomas, BCBA
• Maria-Teresa Thomas, MFTI
• Melony Ann Thomas, MPT
• Nicole Thomas, RADT
• Rachel Leeann Thomas

• Addiction (Substance Use Disorder) Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.