Individual provider Active NPI

Doris La Verne Thomas, CADPT 10145

  • Mental Health Counselor
  • El Monte, CA
National Provider Identifier
1891938510
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
11227 Valley Blvd
El Monte, CA 91731-3299
Phone
(626) 444-0704
Fax
(626) 246-3046
NPI assigned
Apr 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

11227 Valley Blvd
El Monte, CA 91731-3299

Mailing address

500 E 97TH St Apt 2
Inglewood, CA 90301-4250
Phone (310) 921-0998

Other identifiers 1

IdentifierTypeStateIssuer
121504OtherCA121504

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dthomas@prototypes.org Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Housing Project Past Accepting new patients
Singleton Housing Project Mental Health Past Accepting new patients

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": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1891938510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 97TH ST APT 2",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014250",
            "telephone_number": "310-921-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313299",
            "telephone_number": "626-444-0704",
            "fax_number": "626-246-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DORIS",
        "middle_name": "LA VERNE",
        "credential": "CADPT 10145",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "121504",
            "identifier": "121504",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dthomas@prototypes.org",
            "affiliation": "N",
            "endpointDescription": "dthomas@prototypes.org",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "dthomas@prototypes.org",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "11227 Valley Blvd",
            "city": "El Monte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917313299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.