Active NPI
Dominique Thomas
- Professional Counselor
- Columbus, GA
National Provider Identifier
1568263226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC015611
- Practice address
- 1639 Bradley Park Dr Ste 500-240
Columbus, GA 31904-3620 - Phone
- (706) 325-2855
- NPI assigned
- Mar 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 1635570 | GA | |
| Professional Counselor | 101YP2500X | LPC015611 | GA | Primary |
Addresses
Primary practice location
1639 Bradley Park Dr Ste 500-240
Columbus, GA 31904-3620
Mailing address
1639 Bradley Park Dr Ste 500-240
Columbus, GA 31904-3620
Phone (706) 325-2855
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC015611 | GA | MD | Professional Counselor |
| 1635570 | GA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1568263226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 BRADLEY PARK DR STE 500-240",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319043620",
"telephone_number": "706-325-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 BRADLEY PARK DR STE 500-240",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319043620",
"telephone_number": "706-325-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DOMINIQUE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-20",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": "1635570",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC015611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.