Thomas Counseling and Wellness Center LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

16205 Issued in MN

Legal business name

THOMAS COUNSELING AND WELLNESS CENTER LLC

Practice address

421 NE 9TH Ave
Grand Rapids, MN 55744-3130

Phone

(218) 360-5503

Fax

(218) 326-2100

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Cindy Lee Thomas, MSW, LICSWNPI 1295965812

Title

Owner

Phone

(218) 360-1580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cindy Lee Thomas, MSW, LICSW

  • Clinical Social Worker
  • Grand Rapids, MN
  • NPI 1295965812

  Psychologist

  Medicare reassignment NPD Authorized official
• Mary Ellen Linnihan, MA, LP

  • Psychologist
  • Grand Rapids, MN
  • NPI 1457446882
  NPD (past)
• Michele Rinne, MS ED, LP

  • Clinical Psychologist
  • Grand Rapids, MN
  • NPI 1699988972
  NPD (past)

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1639539307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GOLF COURSE RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443552",
            "telephone_number": "218-360-1580",
            "fax_number": "218-326-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NE 9TH AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443130",
            "telephone_number": "218-360-5503",
            "fax_number": "218-326-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS COUNSELING AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CINDY LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-360-1580",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "16205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Duluth Clinic LTD (Essentia Health Grand Rapids Pharmacy)
• The Emeralds at Grand Rapids Assisted Living LLC
• The Emeralds at Grand Rapids LLC
• The Rock HHC Inc. (Childrens Behavioral Health Services)
• Jean Thom, NP
• Angela Dawn Thomas, MA, LPCC, LADC
• Cindy Lee Thomas, MSW, LICSW
• Kelli Thompson
• Nicholas Thompson, MS
• Thrifty Drug Stores Inc (Thrifty White Drug #728)

• Psychologist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.