Individual provider Active NPI

Michael R Thomas, M.S.

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1831514793
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01404 Issued in NV
Practice address
801 S Rancho Dr Ste E8
Las Vegas, NV 89106-3812
Phone
(702) 758-3280
NPI assigned
Feb 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 01404 NV Primary

Addresses

Primary practice location

801 S Rancho Dr Ste E8
Las Vegas, NV 89106-3812

Mailing address

801 S Rancho Dr Ste E8
Las Vegas, NV 89106-3812
Phone (702) 606-7530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240925003246 NV Practitioner - Marriage and Family Therapist 6800337288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overton Psychological Services PLLCGroup PAC ID 6406089614, 3 clinicians

Practice addresses (Care Compare)

8975 S Pecos Rd
Suite 8D
Henderson, NV 89074-7161
Phone (702) 563-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01404NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Overton Psychological Services, PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

8975 S Pecos Rd
Ste 5B
Henderson, NV 89074

8975 S Pecos Rd
Ste 8D
Henderson, NV 89074
Phone (702) 378-4160

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1831514793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE E8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063812",
            "telephone_number": "702-606-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE E8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063812",
            "telephone_number": "702-758-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-28",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.