Individual provider Active NPI

Thomas Jefferson Lewis Sr., LPC; LMFT

  • Marriage & Family Therapist
  • Phoenix, AZ
National Provider Identifier
1538106182
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
564 Issued in CO
Practice address
700 E Jefferson St
250
Phoenix, AZ 85034-2201
Phone
(602) 616-4433
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 564 CO Primary

Addresses

Primary practice location

700 E Jefferson St
250
Phoenix, AZ 85034-2201

Mailing address

700 E Jefferson St Ste 240
Phoenix, AZ 85034-2204
Phone (602) 616-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
564COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Ministry Counseling and Psycotherapy Service Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562198400000",
    "number": "1538106182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E JEFFERSON ST STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342204",
            "telephone_number": "602-616-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E JEFFERSON ST",
            "address_2": "250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342201",
            "telephone_number": "602-616-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "THOMAS",
        "middle_name": "JEFFERSON",
        "name_suffix": "Sr.",
        "credential": "LPC; LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2019-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.