Individual provider Active NPI

Emily Jill Thomas, LCPC, NCC

  • Mental Health Counselor
  • Henderson, NV
National Provider Identifier
1912420456
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-7599 Issued in ID
Practice address
1785 Lily Pond Cir
Henderson, NV 89012-2197
Phone
(208) 206-3742
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-6545 ID
Mental Health Counselor 101YM0800X 13173266-6004 UT
Professional Counselor 101YP2500X LPC-23483 AZ
Professional Counselor 101YP2500X CP5540-R NV
Mental Health Counselor 101YM0800X LCPC-7599 ID Primary

Addresses

Primary practice location

1785 Lily Pond Cir
Henderson, NV 89012-2197

Mailing address

2243 E 200 N
Saint Anthony, ID 83445-5602
Phone (208) 206-3742

Other practice location 1

2243 E 200 N
Saint Anthony, ID 83445-5602
Phone (208) 206-3742

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

State licenses

LicenseStateTypeSpecialty
LPC-6545IDMDCounselor
LCPC-7599IDMDMental Health Counselor
13173266-6004UTMDMental Health Counselor
LPC-23483AZMDProfessional Counselor
CP5540-RNVMDProfessional Counselor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1912420456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 E 200 N",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834455602",
            "telephone_number": "208-206-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 LILY POND CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122197",
            "telephone_number": "208-206-3742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2243 E 200 N",
            "address_purpose": "LOCATION",
            "city": "Saint Anthony",
            "state": "ID",
            "postal_code": "834455602",
            "country_code": "US",
            "telephone_number": "208-206-3742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "EMILY",
        "middle_name": "JILL",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-6545",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13173266-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23483",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5540-R",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-7599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.