Individual provider Active NPI

Justin Raymond Thomas, M.A.,LA.D.C,L.P.C.C.

  • Professional Counselor
  • Hastings, MN
National Provider Identifier
1629939533
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5018 Issued in MN
Practice address
1285 Nininger Rd
Hastings, MN 55033-1086
Phone
(651) 480-4200
Fax
(651) 480-4306
NPI assigned
Nov 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC-5018 MN
Professional Counselor 101YP2500X 5018 MN Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LADC-305434 MN

Addresses

Primary practice location

1285 Nininger Rd
Hastings, MN 55033-1086

Mailing address

Allina Health Nininger Road Clinic
1285 Nininger Road
Hastings, MN 55033-1086
Phone (651) 404-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20260318003164 MN Practitioner - Mental Health Counselor 6507340478 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)

PO Box
43 Mr 10585
Minneapolis, MN 55440-0043

PO Box
Suite 43
Minneapolis, MN 55440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LADC-305434MNMDAddiction (Substance Use Disorder) Counselor
LPCC-5018MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Feb 7, 2026 Accepting new patients
Allina Health System CurrentSince Feb 7, 2026 Accepting new patients

Locations

1285 Nininger Rd
Hastings, MN 55033
Phone (651) 480-4200

Organizations & group practices 3

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": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1629939533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALLINA HEALTH NININGER ROAD CLINIC",
            "address_2": "1285 NININGER ROAD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331086",
            "telephone_number": "651-404-1400",
            "fax_number": "651-404-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 NININGER RD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331086",
            "telephone_number": "651-480-4200",
            "fax_number": "651-480-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JUSTIN",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "M.A.,LA.D.C,L.P.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LPCC-5018",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "5018",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "LADC-305434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MN

Sources for this page

Verify at the official NPI Registry.