Individual provider Active NPI

Cheryl L Thomas, PH.D.

  • Professional Counselor
  • Wadsworth, OH
National Provider Identifier
1518094150
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0602091 Issued in OH
Practice address
140 Wadsworth Rd
Wadsworth, OH 44281-9503
Phone
(330) 510-0222
Fax
(330) 334-2235
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ICDC. 131253-CS OH
Marriage & Family Therapist 106H00000X F. 1300010 OH
Professional Counselor 101YP2500X E.0602091 OH Primary

Addresses

Primary practice location

140 Wadsworth Rd
Wadsworth, OH 44281-9503

Mailing address

201 Burkdale CT
Wadsworth, OH 44281-8372
Phone (330) 351-0862

Other practice location 1

104 Spink St
Wooster, OH 44691-3652
Phone (330) 264-8498 ext. 318

Other names 1

  • Cheryl L Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240214000525 OH Practitioner - Mental Health Counselor 2264876606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

9435 Waterstone Blvd
Suite 140
Cincinnati, OH 45249-8229
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ICDC. 131253-CSOHMDAddiction (Substance Use Disorder) Counselor
E.0602091OHMDProfessional Counselor
F. 1300010OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Landings Counseling, LLC Addiction (Substance Use Disorder) CurrentSince Jan 26, 2025 Accepting new patients
Oneeighty, Inc. CurrentSince Jan 1, 2024 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Jan 27, 2024 Accepting new patients
Oneeighty, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

9435 Waterstone Blvd
Ste 140
Cincinnati, OH 45249
Phone (513) 613-2977

140 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-9734

104 Spink St
Wooster, OH 44691
Phone (330) 264-8498

Organizations & group practices 4

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1518094150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BURKDALE CT",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818372",
            "telephone_number": "330-351-0862",
            "fax_number": "330-334-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819503",
            "telephone_number": "330-510-0222",
            "fax_number": "330-334-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Spink St",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446913652",
            "country_code": "US",
            "telephone_number": "330-264-8498 x318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHERYL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC. 131253-CS",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F. 1300010",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0602091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "WILLIAMS",
            "middle_name": "L",
            "credential": "M.A., M.A.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.