Individual provider Active NPI

Beth Thomas, LMHC

  • Mental Health Counselor
  • Palm Harbor, FL
National Provider Identifier
1528834140
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22937 Issued in FL
Practice address
3450 E Lake Rd Ste 307
Palm Harbor, FL 34685-2411
Phone
(727) 238-5821
Fax
(833) 331-2658
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22937 FL Primary

Addresses

Primary practice location

3450 E Lake Rd Ste 307
Palm Harbor, FL 34685-2411

Mailing address

3450 E Lake Rd Ste 307
Palm Harbor, FL 34685-2411
Phone (727) 238-5821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260616001751 FL Practitioner - Mental Health Counselor 9335611813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Journey Psychiatry and Behavioral Health LLCGroup PAC ID 0547619447, 8 clinicians

Practice addresses (Care Compare)

1815 Health Care Dr
Suite B
New Port Richey, FL 34655-5377
Phone (727) 358-9911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22937FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive to Thrive Therapies Mental Health CurrentSince Dec 3, 2023 Accepting new patients

Locations

3450 E Lake Rd
Ste 307
Palm Harbor, FL 34685
Phone (727) 238-5821

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1528834140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E LAKE RD STE 307",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852411",
            "telephone_number": "727-238-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E LAKE RD STE 307",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852411",
            "telephone_number": "727-238-5821",
            "fax_number": "833-331-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BETH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.