Active NPI
Debra Ann Thomas, MA, MFT
- Mental Health Counselor
- Sherman Oaks, CA
National Provider Identifier
1760142590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 115591
- Practice address
- 4419 Van Nuys Blvd
Ste 208
Sherman Oaks, CA 91403 - Phone
- (818) 657-9148
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 115591 | CA | Primary |
Addresses
Primary practice location
4419 Van Nuys Blvd
Ste 208
Sherman Oaks, CA 91403
Mailing address
1014 S Westlake Blvd. ST14
Westlake Village, CA 91361
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115591 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1760142590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 S WESTLAKE BLVD. ST14",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "91361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4419 VAN NUYS BLVD",
"address_2": "STE 208",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91403",
"telephone_number": "818-657-9148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DEBRA",
"middle_name": "ANN",
"credential": "MA, MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "115591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.