Angelica Thomas

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

505 E Travis St Ste 208
Marshall, TX 75670-4281

Phone

(832) 562-8255

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Changing Lives Behavioral Health

  • Adolescent and Children Mental Health Clinic/Center
  • Marshall, TX
  • NPI 1073031183

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1871266296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CARROLLTON AVE APT C",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053119",
            "telephone_number": "318-319-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E TRAVIS ST STE 208",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756704281",
            "telephone_number": "832-562-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANGELICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athomascliveschange@gmail.com",
            "affiliation": "N",
            "address_1": "505 E Travis St Ste 208",
            "city": "Marshall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756704281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Terrana
• TGL Residential LLC
• The Oaks at Marshall Operating
• The Trinity Sitter Service LLC
• Thermodesigns
• Julie Karling Thomas
• Tracy Wayne Thomas, ED.S., LPC
• Kristofer Kyle Thornton, O.D.
• Ross Vernon Thorp, ATC
• Anne Leslie Tijerina

• Behavior Analyst in Marshall, TX
• Providers in Marshall, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.