Individual provider Active NPI

Douglas Alton Thomas, LPC, LMHC

  • Professional Counselor
  • St Petersburg, FL
National Provider Identifier
1538556931
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007549 Issued in PA
Practice address
6415 23Rd St S Apt 419
St Petersburg, FL 33712-6307
Phone
(412) 475-9601
NPI assigned
Apr 23, 2015
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

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
Mental Health Counselor 101YM0800X 39002591A IN
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X PC007549 PA Primary

Addresses

Primary practice location

6415 23Rd St S Apt 419
St Petersburg, FL 33712-6307

Mailing address

6415 23Rd St S Apt 419
St Petersburg, FL 33712-6307
Phone (412) 475-9601

Other names 1

  • Casey Thomas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241213002532 FL Practitioner - Mental Health Counselor 8527594506 Reassigns benefits to 1 organization
I20241216001680 PA Practitioner - Mental Health Counselor 8527594506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39002591AINMDMental Health Counselor
PC007549PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 13, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Interoperability endpoints

  • Direct secure messaging: douglasthomas@tdh.allscriptsdirect.net

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1538556931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 23RD ST S APT 419",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337126307",
            "telephone_number": "412-475-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 23RD ST S APT 419",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337126307",
            "telephone_number": "412-475-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DOUGLAS",
        "middle_name": "ALTON",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2015-04-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002591A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "THOMAS",
            "credential": "LPC, LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.