Bryan K Thomas, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

125 La Posta Rd
Taos, NM 87571-7240

Phone

(575) 737-8189

NPI assigned

Mar 24, 2007

Sex

Male

Sole proprietor

Yes

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.

• Common Ground Counseling

  • Community/Behavioral Health Agency
  • Taos, NM
  • NPI 1760824106
  Medicare reassignment NPD Authorized official COMMUNITY/BEHAVIORAL HEALTH · NM

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NM

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2022.

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1831216795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875710033",
            "telephone_number": "575-224-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LA POSTA RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717240",
            "telephone_number": "575-737-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRYAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0152331",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06525075",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomacita Tedesco, OTR/L
• Juan A Tejada, BMS
• The Centre for Performance, Art, and Culture Medicine
• Kathy Ann Theriot
• Abigail Thomas
• Christopher Webb Thomas, M.S., ATC, OTC
• Leonard D Thomas, M.D.
• Mary Margaret Thomas, CASE MANAGER
• Dan F Thor, PA
• Melissa Tingue, NP

• All providers in Taos, NM
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.