Kimberly Thomas, PCMHT

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

122 Desoto Ave Ste 109
Clarksdale, MS 38614-4440

Phone

(662) 592-5397

NPI assigned

Aug 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Delta Compassionate Care Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Clarksdale, MS
  • NPI 1083437958
  NPD (past)

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1780468017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E RIVER PL STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 DESOTO AVE STE 109",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144440",
            "telephone_number": "662-592-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KIMBERLY",
        "credential": "PCMHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan H Tedford, P.T.
• Tes Transportation
• The Medical Arthritis and Wellness Clinic of Mississippi Inc
• The Smile Center of Clarksdale
• Therapeutic Exprexxions Rehab, Inc.
• Latonya R Thomas, MSW
• Carleen Thompson
• Malendia Hite Thornton, RPH
• Sylvester Lewis Thornton, NP
• Thrive Medical & Wellness, PLLC

• Counselor in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.