Individual provider Active NPI

Jessica Lorita Thomas, LPC

  • Professional Counselor
  • King George, VA
National Provider Identifier
1629424353
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006621 Issued in VA
Practice address
6358 Bobcat LN
King George, VA 22485-6876
Phone
(434) 378-2860
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006621 VA Primary

Addresses

Primary practice location

6358 Bobcat LN
King George, VA 22485-6876

Mailing address

6358 Bobcat LN
King George, VA 22485-6876
Phone (434) 378-2860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701006621VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rappahannock Area Community Services Board CurrentSince Sep 1, 2024 Accepting new patients
Prince William County Community Services Board CurrentSince Jan 1, 2024 Accepting new patients
Norvin'S Link LLC. CurrentSince Jun 7, 2020 Accepting new patients
Prince William County CurrentSince Jan 1, 2024 Accepting new patients

Locations

600 Jackson St
Fredericksburg, VA 22401
Phone (540) 373-3223

7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826

14011 Worth Ave
Ste 110
Woodbridge, VA 22192

Organizations & group practices 4

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1629424353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6358 BOBCAT LN",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224856876",
            "telephone_number": "434-378-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6358 BOBCAT LN",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224856876",
            "telephone_number": "434-378-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSICA",
        "middle_name": "LORITA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

Verify at the official NPI Registry.