Individual provider Active NPI

Lawanda Thomas, LMFT

  • Marriage & Family Therapist
  • Jacksonville, FL
National Provider Identifier
1760073654
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2625 Issued in FL
Practice address
7530 103Rd St Ste 12
Jacksonville, FL 32210-6786
Phone
(904) 444-8260
Fax
(904) 574-9449
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2625 FL Primary

Addresses

Primary practice location

7530 103Rd St Ste 12
Jacksonville, FL 32210-6786

Mailing address

10245 Magnolia Hills Dr
Jacksonville, FL 32210-4993
Phone (904) 444-8260

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@awakeningccinc.com Awakening Counseling & Coaching Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 13, 2026 through Jul 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT2625FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Awakening Counseling & Coaching Inc. PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 1

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1760073654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 MAGNOLIA HILLS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104993",
            "telephone_number": "904-444-8260",
            "fax_number": "904-574-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 103RD ST STE 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106786",
            "telephone_number": "904-444-8260",
            "fax_number": "904-574-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LAWANDA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@awakeningccinc.com",
            "affiliation": "Y",
            "affiliationName": "Awakening Counseling & Coaching Inc.",
            "address_1": "7530 103rd St Ste 12",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322106786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.