Individual provider Active NPI

Tashanika Kimberlee Thomas, LCPC

  • Mental Health Counselor
  • Salisbury, MD
National Provider Identifier
1487172870
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC3010 Issued in MD
Practice address
116 W Main St Ste 204
Salisbury, MD 21801-4905
Phone
(443) 859-8584
Fax
(443) 859-8496
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC3010 MD Primary

Addresses

Primary practice location

116 W Main St Ste 204
Salisbury, MD 21801-4905

Mailing address

116 W Main St Ste 204
Salisbury, MD 21801-4905
Phone (443) 859-8584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240217000568 MD Practitioner - Mental Health Counselor 1951745934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifemark Inc.Group PAC ID 1153635396, 10 clinicians

Practice addresses (Care Compare)

1342 S Division St
Suite 401
Salisbury, MD 21804-6921
Phone (443) 859-8584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifemark Inc. Mental Health CurrentSince Feb 1, 2024 Accepting new patients

Locations

116 W Main St
Ste 204
Salisbury, MD 21801
Phone (443) 859-8584

1342 S Division St
#401
Salisbury, MD 21804
Phone (410) 546-2133

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487172870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W MAIN ST STE 204",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014905",
            "telephone_number": "443-859-8584",
            "fax_number": "443-859-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W MAIN ST STE 204",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014905",
            "telephone_number": "443-859-8584",
            "fax_number": "443-859-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TASHANIKA",
        "middle_name": "KIMBERLEE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.