Theresa Mechelle Thomas

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC010110 Issued in GA

Practice address

46 S Broad St
Winder, GA 30680-2038

Phone

(770) 246-2822

NPI assigned

Jan 17, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 19, 2024 through Jan 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Abundant Life Institute Inc

  • Mental Health Counselor
  • Winder, GA
  • NPI 1861985327
  NPD

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1790315752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 S BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802038",
            "telephone_number": "770-246-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 S BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802038",
            "telephone_number": "770-246-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "THERESA",
        "middle_name": "MECHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LPC010110",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xue Thao, PHARM.D.
• The Abundant Life Institute Inc
• The Genesis Center of Winder LLC
• The Grounding Space Counseling and Consulting, LLC
• The Healthy Home Barrow LLC
• Noelle Stacy Thrower, REGISTERED NURSE
• Tilmacare
• Keelee Todd, APC, CMHC
• Adam Toenes, PHARMD
• Trasie A Topple, LCSW

• Professional Counselor in Winder, GA
• Providers in Winder, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.