Active NPI
Alethea Jean Thomas, LPC
- Mental Health Counselor
- Waco, TX
National Provider Identifier
1740837780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 70790
- Practice address
- 6501 Sanger Ave Ste 302
Waco, TX 76710-7802 - Phone
- (254) 772-2043
- NPI assigned
- Aug 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 70790 | TX | Primary |
Addresses
Primary practice location
6501 Sanger Ave Ste 302
Waco, TX 76710-7802
Mailing address
2325 N 51St St
Waco, TX 76710-1649
Phone (254) 315-9692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14414303 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | alethea.thomas@gmail.com |
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 |
|---|---|---|---|
| 70790 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1740837780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 N 51ST ST",
"city": "WACO",
"state": "TX",
"postal_code": "767101649",
"telephone_number": "254-315-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 SANGER AVE STE 302",
"city": "WACO",
"state": "TX",
"postal_code": "767107802",
"telephone_number": "254-772-2043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ALETHEA",
"middle_name": "JEAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "70790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14414303",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "alethea.thomas@gmail.com",
"affiliation": "N",
"address_1": "6501 Sanger Ave Ste 302",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767107802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waco, TX
- Thi of Texas at Samaritan Hospice LLC (Compassus - Central Texas)
- Thi of Texas at Samaritan Hospice, LLC (Compassus - Central Texas)
- Joyce Laverne Thomas Campbell
- Thomas E Martens DO PA (Federal Comp and Wellness)
- Thomas Grass DMD PLLC
- Bennita Annastassia Thomas, REGISTERED NURSE
- Hadeshia Lynette Thomas, BT
- Kabreshea Thomas, NP
- Martha McElreath Thomas, LPC
- Matthew Robert Thomas, ATC, LAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.