Individual provider Active NPI

Alexandria Morgan Thomas

  • Professional Counselor
  • Vallejo, CA
National Provider Identifier
1740896083
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18524 Issued in CA
Practice address
7709 Crown Heights CT
Vallejo, CA 94591-8559
Phone
(909) 201-4696
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 18524 CA Primary
Mental Health Counselor 101YM0800X APC6925 CA
Mental Health Counselor 101YM0800X APCC6925 CA
Professional Counselor 101YP2500X APCC6925 CA

Addresses

Primary practice location

7709 Crown Heights CT
Vallejo, CA 94591-8559

Mailing address

7709 Crown Heights CT
Vallejo, CA 94591-8559
Phone (909) 201-4696

Other practice location 1

508 S 2nd Ave
Covina, CA 91723-3012
Phone (626) 974-8123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260213003782 CA Practitioner - Mental Health Counselor 0547740052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

422 Limerick Way
Vacaville, CA 95688-9262

PO Box
Los Angeles, CA 90088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC6925CAMDMental Health Counselor
APCC6925CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. CurrentSince Jan 26, 2026 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Sep 1, 2020 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Sep 1, 2020 Accepting new patients

Locations

4820 Business Center Dr
Ste 220
Fairfield, CA 94534
Phone (510) 278-2700

Organizations & group practices 3

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1740896083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 CROWN HEIGHTS CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918559",
            "telephone_number": "909-201-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 CROWN HEIGHTS CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918559",
            "telephone_number": "909-201-4696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 S 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917233012",
            "country_code": "US",
            "telephone_number": "626-974-8123",
            "fax_number": "626-974-8198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALEXANDRIA",
        "middle_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18524",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APC6925",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC6925",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC6925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.