Individual provider Active NPI

Thomasina Odom Lawson, LPC, PHD

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1538415724
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1705 Richland St Ste C
Columbia, SC 29201
Phone
(803) 667-4406
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6816 SC
Mental Health Counselor 101YM0800X 8418 GA
Mental Health Counselor 101YM0800X 13897 NC
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1705 Richland St Ste C
Columbia, SC 29201

Mailing address

1705 Richland St Ste C
Columbia, SC 29201-2635
Phone (803) 667-4406

Other practice location 1

3295 River Exchange Dr Ste 125
Peachtree Corners, GA 30092-4248
Phone (803) 667-4406

Other practice location 2

1700 Northside Dr NW Ste A7
Unit 6112
Atlanta, GA 30318-2695
Phone (803) 667-4406

Other names 1

  • Thomasina Odom Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8418GAMDMental Health Counselor
13897NCMDMental Health Counselor
6816SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Grow Thrive LLC Mental Health CurrentSince Mar 16, 2021 Accepting new patients

Locations

1700 Northside Dr NW
Ste A7
Atlanta, GA 30318
Phone (513) 633-0088

3295 River Exchange Dr
Ste 125
Peachtree Corners, GA 30092
Phone (347) 938-9246

1705 Richland St
Ste C
Columbia, SC 29201
Phone (803) 667-4406

Interoperability endpoints

  • Direct secure messaging: thomasina.lawson.1@19266.direct.athenahealth.com

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1538415724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 RICHLAND ST STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012635",
            "telephone_number": "803-667-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 RICHLAND ST STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-667-4406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3295 River Exchange Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300924248",
            "country_code": "US",
            "telephone_number": "803-667-4406",
            "fax_number": "803-486-2506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Northside Dr NW Ste A7",
            "address_2": "Unit 6112",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303182695",
            "country_code": "US",
            "telephone_number": "803-667-4406",
            "fax_number": "803-486-2506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "THOMASINA",
        "middle_name": "ODOM",
        "name_prefix": "Dr.",
        "credential": "LPC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6816",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "8418",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13897",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMASINA",
            "last_name": "ODOM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.