Jeffery Earl Thomas Sr., LPCC,LAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC17264 Issued in CA

Practice address

503 Ocean Front Walk
Venice, CA 90291-2403

Phone

(310) 392-3070

Fax

(310) 557-8989

NPI assigned

May 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Phoenix Houses of Los Angeles, Inc.

  • Substance Abuse Rehabilitation Facility
  • Venice, CA
  • NPI 1497809735
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1831536028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 OCEAN FRONT WALK",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912403",
            "telephone_number": "310-392-3070",
            "fax_number": "310-557-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 OCEAN FRONT WALK",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912403",
            "telephone_number": "310-392-3070",
            "fax_number": "310-557-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEFFERY",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LPCC,LAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC17264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTION CERTIFICATION BOARD OF CALIFORNIA",
            "identifier": "CATC NO. 156320 III",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ADVANCED ALCOHOL ADDICTION COUNSELOR",
            "identifier": "LR10050821",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED ADDICTION SPECIALIST",
            "identifier": "T0912071404",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen J Teefy, AMFT, APCC
• Valerie Hoang Thai, DMD
• Chet Tharpe Jr., M.D.
• The Coalition Healthcare LLC
• Shana Thom
• Merries N. Thompson-Marvel, DMD
• Clarence Alley Thompson III, M.F.C.C.
• Heaven Thompson
• Thrifty Payless Inc
• Mary Tieche

• Professional Counselor in Venice, CA
• Providers in Venice, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.