Active NPI
Connie Sue Thomas, LMFT
- Marriage & Family Therapist
- Orange, CA
National Provider Identifier
1598109779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT42408
- Practice address
- 1529 W Culver Ave Apt 16
Orange, CA 92868-4150 - Phone
- (714) 371-7954
- NPI assigned
- Apr 18, 2013
- Last updated
- Apr 18, 2013
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT42408 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | MFT1033 | CO |
Addresses
Primary practice location
1529 W Culver Ave Apt 16
Orange, CA 92868-4150
Mailing address
1529 W Culver Ave Apt 16
Orange, CA 92868-4150
Phone (714) 371-7954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250311003903 | CA | Practitioner - Marriage and Family Therapist | 0042731614 | Practice locations: Tustin, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT42408 | CA | MD | Marriage & Family Therapist |
| MFT1033 | CO | MD | Marriage & Family Therapist |
| 42408 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connie S. Thomas, LMFT | Marriage & Family Therapist | Current | Accepting new patients |
Locations
12821 Newport Ave
Tustin, CA 92780
Phone (714) 803-4866
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, 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": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1598109779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1529 W CULVER AVE APT 16",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684150",
"telephone_number": "714-371-7954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 W CULVER AVE APT 16",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684150",
"telephone_number": "714-371-7954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CONNIE",
"middle_name": "SUE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT42408",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFT1033",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.