Individual provider Active NPI

Thomas F Hayes, LPCC

  • Professional Counselor
  • Ventura, CA
National Provider Identifier
1811147176
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3512 Issued in CA
Practice address
C/O Open Door Counseling
1956 Palma Drive Suite J
Ventura, CA 93003
Phone
(805) 242-2696
NPI assigned
Sep 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3512 CA Primary

Addresses

Primary practice location

C/O Open Door Counseling
1956 Palma Drive Suite J
Ventura, CA 93003

Mailing address

1147 Oyster PL
Oxnard, CA 93030-6739
Phone (805) 242-2696

Other practice location 1

101 N Virginia St
Suite 110
Crystal Lake, IL 60014-3426
Phone (815) 459-0499 ext. 7446

Other identifiers 1

IdentifierTypeStateIssuer
11897917OtherBLUE SHIELD OF CALIFORNIA

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

State licenses

LicenseStateTypeSpecialty
3512CAMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1811147176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 OYSTER PL",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306739",
            "telephone_number": "805-242-2696",
            "fax_number": "805-242-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O OPEN DOOR COUNSELING",
            "address_2": "1956 PALMA DRIVE SUITE J",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-242-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Virginia St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600143426",
            "country_code": "US",
            "telephone_number": "815-459-0499 x7446",
            "fax_number": "815-788-0183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "3512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "11897917",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.