Individual provider Active NPI

John R. Thomas, LPC

  • Professional Counselor
  • Woodland Park, CO
National Provider Identifier
1609571439
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0021356 Issued in CO
Practice address
400 W Midland Ave Ste 275
Woodland Park, CO 80863-3204
Phone
(719) 357-3392
NPI assigned
Apr 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 0021356 CO Primary
Professional Counselor 101YP2500X 84357 TX

Addresses

Primary practice location

400 W Midland Ave Ste 275
Woodland Park, CO 80863-3204

Mailing address

1067 E US Highway 24 # 243
Woodland Park, CO 80863-2120
Phone (719) 357-3392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260320004092 CO Practitioner - Mental Health Counselor 6103300793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1067 E US Hwy 24
Woodland Park, CO 80863-2120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0021356COMDProfessional Counselor
84357TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life to the Full Counseling PLLC CurrentSince Feb 14, 2026 Accepting new patients

Locations

1067 E US Highway 24
Woodland Park, CO 80863
Phone (719) 360-0802

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1609571439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 E US HIGHWAY 24 # 243",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632120",
            "telephone_number": "719-357-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE STE 275",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633204",
            "telephone_number": "719-357-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0021356",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

Verify at the official NPI Registry.