Jennifer Lynn Thomasson, MS LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A2309019 Issued in AR

Practice address

1803 Phyllis St Ste 105
Bentonville, AR 72712-7916

Phone

(479) 335-6482

NPI assigned

Sep 22, 2023

Last updated

Sep 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1659150266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 PHYLLIS ST STE 105",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127916",
            "telephone_number": "479-335-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 PHYLLIS ST STE 105",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127916",
            "telephone_number": "479-335-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MS LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A2309019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabell Page Thomas
• Jessica Lynn Thomas, CCC-SLP
• Lee Walter Thomas, PA-C
• Mike Thomas, MHPP
• Alexis Thomason
• Sara Thomasson
• Kenneth Ray Thompson, DDS
• Leah Thompson
• Sarah Thompson
• Thrive Collective Counseling Center (Heidi Dennis LLC)

• Professional Counselor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.