Active NPI
Mary James-Thomas
- Clinical Social Worker
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14628
- Practice address
- 2924 Knight St Ste 426
Shreveport, LA 71105-2414 - Phone
- (318) 754-3560
- Fax
- (318) 779-0439
- NPI assigned
- Aug 28, 2016
- Last updated
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1790829646 | LA | |
| Clinical Social Worker | 1041C0700X | 14628 | LA | Primary |
| Case Manager/Care Coordinator | 171M00000X | 14628 | LA |
Addresses
Primary practice location
2924 Knight St Ste 426
Shreveport, LA 71105-2414
Mailing address
932 Francais Dr
Shreveport, LA 71118-4050
Phone (318) 426-2182
Other practice location 1
809 Polk St
Mansfield, LA 71052-2452
Phone (318) 426-2182 ext. 42621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790829646 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1790829646 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azalea Health Services | Clinical | Current | Accepting new patients |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| Azalea Health Services Texas LLC | Clinical | Current | Accepting new patients |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| Vcounselors PLLC | Past | Accepting new patients | |
| David Raines Community Health Center, Inc | Past | Accepting new patients | |
| Forever Healthcare Inc. | Past | Accepting new patients | |
| Autumn Creek Health Solutions Inc | Mental Health | Past | Accepting new patients |
| David Raines Community Health Center, Inc. | Past | Accepting new patients |
Locations
1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500
2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242
777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242
1953 Main St
Haynesville, LA 71038
Phone (318) 227-3350
12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742
128 Homer Rd
Minden, LA 71055
Phone (318) 377-1545
1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252
3021 W 70th St
Shreveport, LA 71108
Phone (318) 227-3350
3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350
3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170
351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742
401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350
4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300
441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019
5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750
7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 687-4812
7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671
9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350
Interoperability endpoints
- mary.jamesthomas.p1@direct.davidraineschc.nextgenshare.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Lafayette, LA
- NPI 1043999170
-
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1215933254
-
dba David Raines Community Health Center- Mobile Medical Unit #3
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1205721487
-
- Federally Qualified Health Center (FQHC)
- Gilliam, LA
- NPI 1598761496
-
- Clinical Social Worker
- New Braunfels, TX
- NPI 1326871807
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shreveport, LA
- NPI 1982058756
-
dba David Raines School Based Health Center- Rusheon Middle School
- Federally Qualified Health Center (FQHC)
- Bossier City, LA
- NPI 1326883091
-
dba David Raines School Based Health Center-Walnut Hill
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1982379335
-
- Home Health Agency
- Shreveport, LA
- NPI 1801458781
-
- Professional Counselor
- San Antonio, TX
- NPI 1326784307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1861948143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 FRANCAIS DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711184050",
"telephone_number": "318-426-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 KNIGHT ST STE 426",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052414",
"telephone_number": "318-754-3560",
"fax_number": "318-779-0439"
}
],
"practiceLocations": [
{
"address_1": "809 Polk St",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "LA",
"postal_code": "710522452",
"country_code": "US",
"telephone_number": "318-426-2182 x42621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES-THOMAS",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "1790829646",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "14628",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "14628",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790829646",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- James May MD and Willis-Knighton Medical Center
- James R Bergeron M D a Med Corp
- James Sikes DMD MD and Caroline Garcia DDS MD LLC (Sikes Oral & Maxillofacial Surgery)
- James W. Sikes, Jr. DMD, MD, LLC
- James W. Thompson MD and Willis-Knighton Medical Center
- Caroline James
- Chandra James
- Daniel David James, PT, DPT
- Jadetrick I James
- Jodi James, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.