Individual provider Active NPI

Jeffery Lane Thomas, LPC

  • Mental Health Counselor
  • Tyler, TX
National Provider Identifier
1578427951
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
93434 Issued in TX
Practice address
2702 E 5TH St # 773
Tyler, TX 75701-5021
Phone
(903) 747-5948
NPI assigned
Dec 11, 2025
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 93434 TX Primary

Addresses

Primary practice location

2702 E 5TH St # 773
Tyler, TX 75701-5021

Mailing address

2702 E 5TH St # 773
Tyler, TX 75701-5021
Phone (903) 747-5948

Other practice location 1

675 Town Square Blvd Ste 200
Garland, TX 75040-2991
Phone (574) 546-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260312003895 TX Practitioner - Mental Health Counselor 8921581455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1643 NW 136TH Ave
Sunrise, FL 33323-3091

1643 NW 136TH Ave BLDG H
Sunrise, FL 33323-3091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93434TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Mar 4, 2026 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Mar 4, 2026 Accepting new patients
NV Pacs 2 LLC CurrentSince Mar 4, 2026 Accepting new patients

Organizations & group practices 3

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": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1578427951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 E 5TH ST # 773",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015021",
            "telephone_number": "903-747-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 E 5TH ST # 773",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015021",
            "telephone_number": "903-747-5948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Town Square Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750402991",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEFFERY",
        "middle_name": "LANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "93434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.