Antoinette Althea Thomas, LCPC, MAC,NCC,CTHP I

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC4396 Issued in MD

Practice address

7102 Lounsbury CT
Windsor Mill, MD 21244-1840

Phone

(443) 810-6944

NPI assigned

Apr 17, 2012

Sex

Female

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1841557717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 LOUNSBURY CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441840",
            "telephone_number": "443-810-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 LOUNSBURY CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441840",
            "telephone_number": "443-810-6944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Pennyborough Ct",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211366447",
            "country_code": "US",
            "telephone_number": "443-810-6944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANTOINETTE",
        "middle_name": "ALTHEA",
        "credential": "LCPC, MAC,NCC,CTHP I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "641",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462888495",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NONE",
            "affiliation": "N",
            "endpointDescription": "NONE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NONE",
            "address_1": "7102 Lounsbury Ct",
            "city": "Windsor Mill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.