Active NPI
Thomas F Hayes, LPCC
- Professional Counselor
- Ventura, CA
National Provider Identifier
1811147176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3512
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11897917 | Other | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3512 | CA | MD | Skilled 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.