Individual provider Active NPI

Stacy Jo Thomas, M.A., LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1497246813
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74637 Issued in TX
Practice address
10260 N Central Expy Ste 280
Dallas, TX 75231
Phone
(972) 325-8647
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74637 TX Primary

Addresses

Primary practice location

10260 N Central Expy Ste 280
Dallas, TX 75231

Mailing address

10260 N Central Expy Ste 280
Dallas, TX 75231-3437
Phone (972) 325-8647

Other practice location 1

5445 La Sierra Dr Ste 103
Dallas, TX 75231-4139
Phone (972) 325-8647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
74637TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1497246813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 N CENTRAL EXPY STE 280",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313437",
            "telephone_number": "972-325-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 N CENTRAL EXPY STE 280",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "972-325-8647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5445 La Sierra Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314139",
            "country_code": "US",
            "telephone_number": "972-325-8647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STACY",
        "middle_name": "JO",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.