Individual provider Active NPI

Theresa Thomas, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1770218646
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4012348 Issued in KY
Practice address
234 E Gray St Ste 154
Louisville, KY 40202-1903
Phone
(502) 899-2673
NPI assigned
Jul 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4012348 KY Primary

Addresses

Primary practice location

234 E Gray St Ste 154
Louisville, KY 40202-1903

Mailing address

PO Box 776347
Chicago, IL 60677-6347
Phone (502) 588-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240129003776 KY Practitioner - Nurse Practitioner 0244683993 Reassigns benefits to 3 organizations
I20250206000485 IN Practitioner - Nurse Practitioner 0244683993 Reassigns benefits to 3 organizations
I20251008003046 MI Practitioner - Nurse Practitioner 0244683993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

6720 Parkdale PL
Indianapolis, IN 46254-4668
Phone 8328694818235

950 Breckenridge LN
Suite 120
Louisville, KY 40207-4687
Phone (832) 869-4818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4012348KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Associates of Michigan, PLLC Psychiatric/Mental Health CurrentSince Aug 2, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jan 28, 2025 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC CurrentSince Aug 2, 2025 Accepting new patients
Norton Hospitals, Inc CurrentSince Feb 1, 2024 Accepting new patients
Indiana United Psych LLC Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Norton Hospitals Inc Psychiatric/Mental Health CurrentSince Feb 1, 2024 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jan 28, 2025 Accepting new patients

Locations

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

950 Breckenridge Ln
Ste 120
Louisville, KY 40207

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

676 S Floyd St
Louisville, KY 40202
Phone (502) 629-2500

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

290 Town Center Dr
Ste 141
Dearborn, MI 48126

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 7

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": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1770218646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "telephone_number": "502-588-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E GRAY ST STE 154",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021903",
            "telephone_number": "502-899-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "THERESA",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4012348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.