Active NPI
Beverly Denise Thomas-Marsh, M.S., LMFT
- Mental Health Counselor
- Riverside, CA
National Provider Identifier
1649417049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 91502
- Practice address
- 6700 Indiana Ave Ste 165
Riverside, CA 92506-4248 - Phone
- (951) 456-3930
- Fax
- (951) 456-3939
- NPI assigned
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 91502 | CA | Primary |
Addresses
Primary practice location
6700 Indiana Ave Ste 165
Riverside, CA 92506-4248
Mailing address
6700 Indiana Ave Ste 165
Riverside, CA 92506-4248
Phone (951) 456-3939
Other practice location 1
1901 Orange Tree Ln
Redlands, CA 92374-4564
Phone (909) 307-1204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649417049 | Medicaid | CA | |
| 1649417049 | Other | CA | MEDI-CAL |
Other names 1
- Beverly Denise Thomas
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91502 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1649417049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 INDIANA AVE STE 165",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064248",
"telephone_number": "951-456-3939",
"fax_number": "951-456-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 INDIANA AVE STE 165",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064248",
"telephone_number": "951-456-3930",
"fax_number": "951-456-3939"
}
],
"practiceLocations": [
{
"address_1": "1901 Orange Tree Ln",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923744564",
"country_code": "US",
"telephone_number": "909-307-1204",
"fax_number": "909-983-1076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS-MARSH",
"first_name": "BEVERLY",
"middle_name": "DENISE",
"credential": "M.S., LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "91502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649417049",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "1649417049",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BEVERLY",
"last_name": "THOMAS",
"middle_name": "DENISE",
"credential": "M.S., LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.