Individual provider Active NPI

Beverly Denise Thomas-Marsh, M.S., LMFT

  • Mental Health Counselor
  • Riverside, CA
National Provider Identifier
1649417049
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
91502 Issued in CA
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

Updated by the provider on May 31, 2019

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 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

IdentifierTypeStateIssuer
1649417049MedicaidCA
1649417049OtherCAMEDI-CAL

Other names 1

  • Beverly Denise Thomas Professional name

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

LicenseStateTypeSpecialty
91502CAMDPharmacist

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.

Verify at the official NPI Registry.