Individual provider Active NPI

Rosa Thomas

  • Professional Counselor
  • Midwest City, OK
National Provider Identifier
1689962037
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11612 Issued in OK
Practice address
10613 Kristie LN
Midwest City, OK 73130-6033
Phone
(405) 706-1026
NPI assigned
Jul 19, 2011
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11612 OK Primary

Addresses

Primary practice location

10613 Kristie LN
Midwest City, OK 73130-6033

Mailing address

12109 Heritage Park Rd
Oklahoma City, OK 73120-9506
Phone (405) 571-1839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125001118 OK Practitioner - Mental Health Counselor 4688027725 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince May 1, 2025 Accepting new patients
Moore Family Therapy CurrentSince Jan 1, 2024 Accepting new patients

Locations

7530 NW 23rd St
Bethany, OK 73008
Phone (405) 730-6990

8855 E Reno Ave
Ste 200
Midwest City, OK 73110
Phone (405) 549-8606

1400 SE 4th St
Ste A
Moore, OK 73160
Phone (405) 794-4497

101 Park Ave
Oklahoma City, OK 73102
Phone (405) 442-4940

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1689962037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 HERITAGE PARK RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209506",
            "telephone_number": "405-571-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10613 KRISTIE LN",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306033",
            "telephone_number": "405-706-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "11612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.