Jacqueline Reeves Thomas, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000004507 Issued in TN

Practice address

Memphis Veterans Affairs Medical Center (Vamc)
1030 Jefferson Ave
Memphis, TN 38016

Phone

(901) 523-8990

NPI assigned

Oct 11, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1477195451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 GOOSE CREEK DR APT 103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161834",
            "telephone_number": "301-613-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEMPHIS VETERANS AFFAIRS MEDICAL CENTER (VAMC)",
            "address_2": "1030 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38016",
            "telephone_number": "901-523-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JACQUELINE",
        "middle_name": "REEVES",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000004507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacqueline.thomas10@va.gov",
            "affiliation": "Y",
            "endpointDescription": "Practice Location",
            "affiliationName": "Memphis VAMC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work Related",
            "address_1": "Memphis Veterans Affairs Medical Center (VAMC)",
            "address_2": "1030 Jefferson Ave",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "38016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dekayla Thomas
• Destiny Mariah Thomas
• Dineka Y Thomas
• Errol M Thomas Jr., M.D.
• Genevieve Tempy Thomas, LPC/MHSP
• James E Thomas Jr., MD
• James Theodore Thomas II, LPC - MHSP
• Jennifer Lynn Thomas, LCSW
• Jeremy L Thomas, PHARM.D.
• Jisha Thomas, PHARM D

• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.