Individual provider Active NPI

Thomas Clouse, LPC

  • Mental Health Counselor
  • Peoria, AZ
National Provider Identifier
1568034635
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19746 Issued in AZ
Practice address
7977 W Wacker Rd Unit 231
Peoria, AZ 85381-4070
Phone
(480) 387-8395
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X AZ
Mental Health Counselor 101YM0800X 19746 AZ Primary

Addresses

Primary practice location

7977 W Wacker Rd Unit 231
Peoria, AZ 85381-4070

Mailing address

7977 W Wacker Rd Unit 231
Peoria, AZ 85381-4070
Phone (480) 387-8395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240516003428 AZ Practitioner - Marriage and Family Therapist 6709227036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sahara Wellness Center LLCGroup PAC ID 4486195542, 3 clinicians

Practice addresses (Care Compare)

5720 W Peoria Ave
Suite 102
Glendale, AZ 85302-1420
Phone (623) 400-9333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19746AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sahara Wellness Center LLC CurrentSince Jun 27, 2025 Accepting new patients
Recovia LLC CurrentSince Apr 2, 2024 Accepting new patients
Recovia LLC Mental Health Past Accepting new patients
Recovia LLC Mental Health Past Accepting new patients

Locations

5720 W Peoria Ave
Ste 102
Glendale, AZ 85302
Phone (623) 400-9333

2411 W Northern Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 441-1750

6060 N Fountain Plaza Dr
Ste 140
Tucson, AZ 85704

Interoperability endpoints

  • Direct secure messaging: thomas.clouse.p1@direct.saharawc.nextgenshare.com
  • Direct secure messaging: thomas.clouse.1@33289.direct.athenahealth.com

Organizations & group practices 5

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1568034635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7977 W WACKER RD UNIT 231",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814070",
            "telephone_number": "480-387-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7977 W WACKER RD UNIT 231",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814070",
            "telephone_number": "480-387-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "19746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.