Individual provider Active NPI

Felicia Thomas

  • Marriage & Family Therapist
  • Dallas, GA
National Provider Identifier
1871892695
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01302 Issued in NV
Practice address
457 Nathan Dean Blvd # 339
Dallas, GA 30132-4911
Phone
(702) 744-7696
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT001788 GA
Marriage & Family Therapist 106H00000X 01302 NV Primary

Addresses

Primary practice location

457 Nathan Dean Blvd # 339
Dallas, GA 30132-4911

Mailing address

457 Nathan Dean Blvd # 339
Dallas, GA 30132-4911
Phone (770) 608-4565

Other practice location 1

126 Enterprise Path Ste 201
Hiram, GA 30141-2654
Phone (706) 229-7332 ext. 1240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20241230001212 GA Practitioner - Marriage and Family Therapist 2466989629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT001788GAMDMental Health Counselor
01302NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Felicia Thomas LLC Marriage & Family Therapist CurrentSince Jan 28, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 15, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

457 Nathan Dean Blvd
#339
Dallas, GA 30132
Phone (702) 744-7696

2501 N Green Valley Pkwy
Ste 116
Henderson, NV 89014
Phone (702) 605-2766

Organizations & group practices 2

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1871892695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 NATHAN DEAN BLVD # 339",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324911",
            "telephone_number": "770-608-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 NATHAN DEAN BLVD # 339",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324911",
            "telephone_number": "702-744-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Enterprise Path Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301412654",
            "country_code": "US",
            "telephone_number": "706-229-7332 x1240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "FELICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MFT001788",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

Verify at the official NPI Registry.