Craig Evan Thomas

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2045 Silverton Rd NE Ste B
Salem, OR 97301-0100

Phone

(971) 283-4153

NPI assigned

Sep 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 16, 2025 through Sep 16, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1619698560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 WOODMILL DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973061171",
            "telephone_number": "503-983-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 SILVERTON RD NE STE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010100",
            "telephone_number": "971-283-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CRAIG",
        "middle_name": "EVAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101Y00000X",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "101Y00000X",
            "affiliation": "N",
            "address_1": "2045 Silverton Rd NE Ste B",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973010100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Byron Allan Keith Thiessen
• Thomas V Kruse, M.D., P.C.
• Ashley Mae Thomas
• Casey E Thomas
• Christina Thomas
• Haley Shea-McKenzie Thomas
• Halle M Thomas, LPC
• Heidi Sult Thomas, MD
• Jessica Nichole Thomas, LMFT
• Jimmie Bryant Thomas, MA, LPC, QMHP

• Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.