Individual provider Active NPI

Thomas James Devine, M.ED

  • Mental Health Counselor
  • Arvada, CO
National Provider Identifier
1811270481
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0015621 Issued in CO
Practice address
5885 Allison St Unit 217
Arvada, CO 80001-2607
Phone
(720) 600-6035
NPI assigned
Sep 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X 0015621 CO Primary

Addresses

Primary practice location

5885 Allison St Unit 217
Arvada, CO 80001-2607

Mailing address

5885 Allison St Unit 217
Arvada, CO 80001-2607
Phone (720) 600-6035

Other practice location 1

7777 E US Highway 66
El Reno, OK 73036-9125
Phone (405) 422-8800

Other practice location 2

7777 E US Highway 66
El Reno, OK 73036-9125
Phone (405) 422-8800

Other practice location 3

671 Mitchell Way Ste 212
Erie, CO 80516
Phone (405) 443-8078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20241009003270 CO Practitioner - Mental Health Counselor 7012448483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1811270481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 ALLISON ST UNIT 217",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800012607",
            "telephone_number": "720-600-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 ALLISON ST UNIT 217",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800012607",
            "telephone_number": "720-600-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 E US Highway 66",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "730369125",
            "country_code": "US",
            "telephone_number": "405-422-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 E US Highway 66",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "730369125",
            "country_code": "US",
            "telephone_number": "405-422-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 Mitchell Way Ste 212",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "80516",
            "country_code": "US",
            "telephone_number": "405-443-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0015621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.