Keayon Dontre Thomas

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1865 Gumberry CT
Hope Mills, NC 28348-8421

Phone

(910) 710-4520

NPI assigned

Nov 17, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1497464556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 GUMBERRY CT",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488421",
            "telephone_number": "910-710-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 GUMBERRY CT",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488421",
            "telephone_number": "910-710-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KEAYON",
        "middle_name": "DONTRE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "996140124",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdthomas@uncp.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1865 Gumberry Ct",
            "city": "Hope Mills",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283488421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Truscott Temple, BS, PHARMD, RPH
• The Tewa Group
• The Therapeutic Oasis LLC
• Therapeutic Assessments and Counseling Services, PLLC
• Delisha Nicole Thomas, LMHC
• McHelle Thomas, PHARMD
• Regina Thomas, LPCA
• Tiffany Douglas LCSW Counseling and Consulting
• Natascha Wagoner Tilson
• Roberta Denise Tolbert, D.C.

• Addiction (Substance Use Disorder) Counselor in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.