Active NPI
Melinda Leigh Thomas, LMFT, CCDP
- Marriage & Family Therapist
- New Derry, PA
National Provider Identifier
1669757316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000627
- Practice address
- 5700 Route 982
New Derry, PA 15671-1027 - Phone
- (724) 804-8204
- Fax
- (724) 203-6551
- NPI assigned
- Oct 13, 2011
- Last updated
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | PA | ||
| Marriage & Family Therapist | 106H00000X | MF000627 | PA | Primary |
Addresses
Primary practice location
5700 Route 982
New Derry, PA 15671-1027
Mailing address
217 Clover Dr
Latrobe, PA 15650-2312
Phone (724) 433-3623
Other practice location 1
217 Clover Dr
Latrobe, PA 15650-2312
Phone (724) 433-3623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102903907000 | Medicaid | PA |
Other names 1
- Melinda L 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF000627 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1669757316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 CLOVER DR",
"city": "LATROBE",
"state": "PA",
"postal_code": "156502312",
"telephone_number": "724-433-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 ROUTE 982",
"city": "NEW DERRY",
"state": "PA",
"postal_code": "156711027",
"telephone_number": "724-804-8204",
"fax_number": "724-203-6551"
}
],
"practiceLocations": [
{
"address_1": "217 Clover Dr",
"address_purpose": "LOCATION",
"city": "Latrobe",
"state": "PA",
"postal_code": "156502312",
"country_code": "US",
"telephone_number": "724-433-3623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "MELINDA",
"middle_name": "LEIGH",
"credential": "LMFT, CCDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102903907000",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "THOMAS",
"middle_name": "L",
"credential": "LMFT CCDP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in New Derry, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.