Active NPI
Charlette Thomas Thomas, MS
- Marriage & Family Therapist
- Winter Park, FL
National Provider Identifier
1457624868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1673
- Practice address
- 315 North Lakemont Avenue, Suite B
Behavioral Support Services
Winter Park, FL 32792 - Phone
- (407) 996-4905
- NPI assigned
- Feb 15, 2012
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1673 | FL | Primary |
Addresses
Primary practice location
315 North Lakemont Avenue, Suite B
Behavioral Support Services
Winter Park, FL 32792
Mailing address
315 North Lakemont
Behavioral Support Srvices, Inc
Winter Park, FL 32792
Phone (407) 996-4905
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1673 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1457624868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 NORTH LAKEMONT",
"address_2": "BEHAVIORAL SUPPORT SRVICES, INC",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "407-996-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 NORTH LAKEMONT AVENUE, SUITE B",
"address_2": "BEHAVIORAL SUPPORT SERVICES",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "407-996-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CHARLETTE",
"middle_name": "THOMAS",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "1673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.