Individual provider Active NPI

Billie Thomas, LPC

  • Professional Counselor
  • Canon City, CO
National Provider Identifier
1699299644
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0019257 Issued in CO
Practice address
120 N 2ND St
Canon City, CO 81212-3204
Phone
(719) 221-0643
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 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 LPC.0019257 CO Primary

Addresses

Primary practice location

120 N 2ND St
Canon City, CO 81212-3204

Mailing address

120 N 2ND St
Canon City, CO 81212-3204
Phone (719) 221-0643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240815001756 CO Practitioner - Mental Health Counselor 6800334327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group of Colorado, PCGroup PAC ID 3870036478, 32 clinicians

Practice addresses (Care Compare)

8490 E Crescent Pkwy
Suite 200
Greenwood Village, CO 80111-2802
Phone (720) 316-6434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group of Colorado, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Mindful Therapy Group of Colorado, PC Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

8490 E Crescent Pkwy
Ste 200
Greenwood Village, CO 80111
Phone (720) 316-6434

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1699299644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 2ND ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123204",
            "telephone_number": "719-221-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 2ND ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123204",
            "telephone_number": "719-221-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BILLIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.