Ken Thom Counseling Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

License

002237 Issued in MO

Legal business name

KEN THOM COUNSELING INC

Practice address

515 W Cooper
Maryville, MO 64468-2417

Phone

(660) 562-2531

Fax

(660) 562-3239

NPI assigned

Feb 15, 2007

Organization subpart

Yes

Parent organization

INTERNATIONAL CONGRESS OF CHURCHES AND MINISTRIESAs reported in NPPES

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

Authorized official

Name

Mr. Kenneth T Thom, LPCNPI 1912982893

Title

President

Phone

(660) 562-2531

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Kenneth Thom Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth T. Thom, LPC

  • Professional Counselor
  • Maryville, MO
  • NPI 1912982893
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1508909938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W COOPER",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682417",
            "telephone_number": "660-562-2531",
            "fax_number": "660-562-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W COOPER",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682417",
            "telephone_number": "660-562-2531",
            "fax_number": "660-562-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN THOM COUNSELING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNATIONAL CONGRESS OF CHURCHES AND MINISTRIES",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "THOM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-562-2531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MO",
            "license": "002237",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "002237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "24206013",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - PERSONAL PROVIDER",
            "identifier": "1912982893",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN PRO",
            "identifier": "10001042101",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHQ",
            "identifier": "11633708",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498635705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Thom",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christine Marie Jacobson, LCSW
• Hailey Dawn Jahnel, DPT
• Jeffry P. Gardner, D.D.S.
• Michelle Ann Jones, LCSW
• Patrick M Jordan, D.D.S.
• Michael Kielmanowicz
• Courtney Koch, LPC, NCC
• Gloria Akorfa Kpenu, NP
• Kristine K Kramer, PMHNP-BC
• Stephanie Kramer

• Counselor in Maryville, MO
• Providers in Maryville, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.