Organization Active NPI

Thomas Family and Behavioral Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1477396000
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THOMAS FAMILY AND BEHAVIORAL HEALTH SERVICES
Practice address
1007 Gould Dr Ste 1
Bossier City, LA 71111-4971
Phone
(318) 231-1127
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Mrs. Constance Gillyard Thomas, PMHNPNPI 1558085399
Title
Owner/Ceo
Phone
(318) 231-1127

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1007 Gould Dr Ste 1
Bossier City, LA 71111-4971

Mailing address

1007 Gould Dr Ste 3
Bossier City, LA 71111-4971
Phone (318) 231-1127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260106003853 LA Part B Supplier - Clinic/Group Practice 1052807385 Receives reassigned benefits from 2 practitioners
Practice locations: Bossier City, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2333359Thomas Family and Behavioral Health Sevices1007 Gould Drive, BLDG 3, Ste 3, Bossier City, LA 71111Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory

Locations

180 Burt Blvd
#1173
Benton, LA 71006

1007 Gould Dr
Ste 1
Bossier City, LA 71111
Phone (318) 422-7154

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": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1477396000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GOULD DR STE 3",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114971",
            "telephone_number": "318-231-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOULD DR STE 1",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114971",
            "telephone_number": "318-231-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FAMILY AND BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "GILLYARD",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "318-231-1127",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.