Active NPI
Lacinda R Thomas, LPC
- Professional Counselor
- Johnson City, TN
National Provider Identifier
1780948034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3451
- Practice address
- 2243 Eddie Williams Rd
Johnson City, TN 37601-2872 - Phone
- (423) 928-5627
- Fax
- (423) 928-4222
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3451 | TN | Primary |
Addresses
Primary practice location
2243 Eddie Williams Rd
Johnson City, TN 37601-2872
Mailing address
318 Corby Bridge Rd
Limestone, TN 37681-2733
Phone (423) 717-9362
Other practice location 1
2408 Susannah St Ste 1
Johnson City, TN 37601-1765
Phone (423) 434-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3451 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Recovery, PLLC | Current | Accepting new patients | |
| Frontier Health | Past | Accepting new patients |
Locations
2408 Susannah St
Ste 1
Johnson City, TN 37601
Phone (423) 282-5054
Organizations & group practices 5
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.
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dba New Life Medicine
- Addiction Medicine (Internal Medicine) Physician
- Johnson City, TN
- NPI 1114462215
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1104277656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724544000000",
"number": "1780948034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 CORBY BRIDGE RD",
"city": "LIMESTONE",
"state": "TN",
"postal_code": "376812733",
"telephone_number": "423-717-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 EDDIE WILLIAMS RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012872",
"telephone_number": "423-928-5627",
"fax_number": "423-928-4222"
}
],
"practiceLocations": [
{
"address_1": "2408 Susannah St Ste 1",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376011765",
"country_code": "US",
"telephone_number": "423-434-6677",
"fax_number": "423-461-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "LACINDA",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2024-08-25",
"certification_date": "2024-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "3451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.