Active NPI
Donna Thomas, LICDC-CS
- Addiction (Substance Use Disorder) Counselor
- Youngstown, OH
National Provider Identifier
1689089849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC-CS
- Practice address
- 878 Coitsville Hubbard Rd
Recovery Services Dept.
Youngstown, OH 44505-4635 - Phone
- (330) 743-0700
- NPI assigned
- Jun 26, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC-CS | OH | Primary |
| Professional Counselor | 101YP2500X | C.0006849 | OH |
Addresses
Primary practice location
878 Coitsville Hubbard Rd
Recovery Services Dept.
Youngstown, OH 44505-4635
Mailing address
878 Coitsville Hubbard Rd
Recovery Services Dept.
Youngstown, OH 44505-4635
Phone (330) 743-0700
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 |
|---|---|---|---|
| LICDC-CS | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C.0006849 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1689089849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "878 COITSVILLE HUBBARD RD",
"address_2": "RECOVERY SERVICES DEPT.",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445054635",
"telephone_number": "330-743-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "878 COITSVILLE HUBBARD RD",
"address_2": "RECOVERY SERVICES DEPT.",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445054635",
"telephone_number": "330-743-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DONNA",
"credential": "LICDC-CS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC-CS",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0006849",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.