Ilyasah Ja'Killa Thomas, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A22784 Issued in NC

Practice address

5821 Fairview Rd Ste 101
Charlotte, NC 28209-5601

Phone

(980) 308-4500

Fax

(980) 458-6037

NPI assigned

Apr 7, 2026

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

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": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1497697668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13309 HUNTING BIRDS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282788783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 FAIRVIEW RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282095601",
            "telephone_number": "980-308-4500",
            "fax_number": "980-458-6037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10150 Mallard Creek Rd Ste 509",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282629708",
            "country_code": "US",
            "telephone_number": "980-308-4500",
            "fax_number": "980-458-6037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ILYASAH",
        "middle_name": "JA'KILLA",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A22784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Thomas
• Douglas J Thomas, OTR L CHT
• Dwalla Lynise Thomas
• Dwayne E Thomas II, D.C.
• Haden Knight Thomas, DPT
• J. George Thomas, MD
• Jacquelin Renee Thomas
• Jayla Simone Thomas
• Jennifer Manning Thomas, PHD
• Joshua Thomas

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.