Active NPI
Shantel I Thomas, PH.D
- Mental Health Counselor
- Cincinnati, OH
National Provider Identifier
1629170972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E2888
- Practice address
- 203 E Galbraith Rd
Cincinnati, OH 45216-1353 - Phone
- (513) 948-0023
- Fax
- (513) 948-0087
- NPI assigned
- Sep 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E2888 | OH | Primary |
Addresses
Primary practice location
203 E Galbraith Rd
Cincinnati, OH 45216-1353
Mailing address
203 E Galbraith Rd
Cincinnati, OH 45216-1353
Phone (513) 948-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2888 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1629170972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 E GALBRAITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452161353",
"telephone_number": "513-948-0023",
"fax_number": "513-948-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 E GALBRAITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452161353",
"telephone_number": "513-948-0023",
"fax_number": "513-948-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHANTEL",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2021-08-24",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E2888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.