Mark Edward Thomas, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC25892 Issued in CA

Practice address

686 E Mill St
San Bernardino, CA 92415-5230

Phone

(909) 798-8573

Fax

(909) 798-8582

NPI assigned

Feb 14, 2007

Last updated

Jun 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of San Bernardino

  dba DAAS Age Wise

  • Adult Mental Health Clinic/Center
  • San Bernardino, CA
  • NPI 1598328072
  NPD (past) Authorized official
• County of San Bernardino

  dba OPG Mental Health Services

  • Adult Mental Health Clinic/Center
  • San Bernardino, CA
  • NPI 1821601063
  NPD (past) Authorized official
• County of San Bernardino

  dba Daas Age Wise

  • Adult Mental Health Clinic/Center
  • Apple Valley, CA
  • NPI 1902010887
  Authorized official Same address or phone

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1609919349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33277",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925190277",
            "telephone_number": "951-662-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 E MILL ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924155230",
            "telephone_number": "909-798-8573",
            "fax_number": "909-798-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC25892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enjoli Thomas
• Esther Lorraine Thomas
• Jeremy Lynn Thomas Sr.
• Kourtney Thomas
• Lakesha Thomas
• Matthew E Thomas
• Nancy Lucille Thomas
• Sabrina Michelle Thomas, RN
• Tykeysha Thomas, PHD, MSN, RN, CNE
• Bradley M Thompson

• Marriage & Family Therapist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.