Individual provider Active NPI

Ashley Dominque Thomas, LCSW-S

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1922448844
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63477 Issued in TX
Practice address
1615 N Main St
Houston, TX 77009-8525
Phone
(713) 236-7195
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801093551 MI
Clinical Social Worker 1041C0700X 63477 TX Primary

Addresses

Primary practice location

1615 N Main St
Houston, TX 77009-8525

Mailing address

2500 Woodland Park Dr Apt K203
Houston, TX 77077-3257
Phone (734) 474-0800

Other practice location 1

8901 Boone Rd
Houston, TX 77099-1659
Phone (281) 454-0505

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
63477TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abound in Peace Counseling & Wellness, PLLC Current Accepting new patients

Locations

2000 S Dairy Ashford Rd
Ste 380
Houston, TX 77077
Phone (281) 741-2210

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1922448844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WOODLAND PARK DR APT K203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773257",
            "telephone_number": "734-474-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770098525",
            "telephone_number": "713-236-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Boone Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770991659",
            "country_code": "US",
            "telephone_number": "281-454-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ASHLEY",
        "middle_name": "DOMINQUE",
        "name_prefix": "Ms.",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093551",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.