Michelle R. Thomas, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

34005594A Issued in IN

Practice address

1750 Kilbourn St
Elkhart, IN 46514-1920

Phone

(574) 266-8066

Fax

(574) 266-8066

NPI assigned

Nov 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Michelle Thomas, LCSW, LLC

  • Mental Health Counselor
  • Elkhart, IN
  • NPI 1184245466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1801041488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-266-8066",
            "fax_number": "574-255-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-266-8066",
            "fax_number": "574-266-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465163224",
            "country_code": "US",
            "telephone_number": "574-326-3590",
            "fax_number": "574-333-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MICHELLE",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005594",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34005594A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005594A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000716598",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Wellness Collective LLC
• Ahunyoi Thomas
• Lynn R Thomas, D.D.S.
• Mabel Thomas, RBT
• Michael H Thomas, MD
• Richard D. Thomason, M.D.
• Valerie Thompson Hinkle, LMHC
• Heather Thompson, LCSW
• Gina Thornton
• Trisha Loray Thrash, RDH

• Mental Health Counselor in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.

Verify at the official NPI Registry.