Individual provider Active NPI

Thomas L. Slough, LPA

  • Mental Health Counselor
  • San Angelo, TX
National Provider Identifier
1639178056
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12487 Issued in TX
Practice address
3471 Knickerbocker Rd
Suite 508
San Angelo, TX 76904-8823
Phone
(325) 942-7531
Fax
(325) 942-7532
NPI assigned
Jul 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12487 TX Primary

Addresses

Primary practice location

3471 Knickerbocker Rd
Suite 508
San Angelo, TX 76904-8823

Mailing address

3471 Knickerbocker Rd
Suite 508
San Angelo, TX 76904-8823
Phone (325) 942-7531

Other identifiers 1

IdentifierTypeStateIssuer
8130BHOtherTXBLUECROSSBLUESHIELD

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

State licenses

LicenseStateTypeSpecialty
12487TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joe M Jeffers Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639178056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 KNICKERBOCKER RD",
            "address_2": "SUITE 508",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769048823",
            "telephone_number": "325-942-7531",
            "fax_number": "325-942-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 KNICKERBOCKER RD",
            "address_2": "SUITE 508",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769048823",
            "telephone_number": "325-942-7531",
            "fax_number": "325-942-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOUGH",
        "first_name": "THOMAS",
        "middle_name": "L.",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "12487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "8130BH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.