Individual provider Active NPI

Courtney Thomas, M. ED

  • Behavior Analyst
  • Somerset, KY
National Provider Identifier
1780394106
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
281778 Issued in KY
Practice address
67 Jacks LN
Somerset, KY 42501-6152
Phone
(606) 425-4371
NPI assigned
Nov 28, 2022
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 281778 KY Primary

Addresses

Primary practice location

67 Jacks LN
Somerset, KY 42501-6152

Mailing address

103 Rebel Dr
Somerset, KY 42501-1910
Phone (606) 416-2113

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 Education

State licenses

LicenseStateTypeSpecialty
281778KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Pediatric Therapy, LLC Behavior Analyst CurrentSince Dec 6, 2022 Accepting new patients
Lake Cumberland Pediatric Therapy, LLC Behavior Analyst CurrentSince Dec 6, 2022 Accepting new patients

Locations

861 N Main St
Monticello, KY 42633
Phone (606) 396-3532

67 Jacks Ln
Somerset, KY 42501
Phone (606) 425-4371

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1780394106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 REBEL DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011910",
            "telephone_number": "606-416-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 JACKS LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016152",
            "telephone_number": "606-425-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "COURTNEY",
        "credential": "M. ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "281778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.