Organization Active NPI

Bethlehem Family Services

  • Marriage & Family Therapist
  • Plant City, FL
National Provider Identifier
1932918927
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BETHLEHEM FAMILY SERVICES
Practice address
2103 Mud Lake Rd
Plant City, FL 33566-1009
Phone
(813) 752-4591
NPI assigned
Jan 3, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Dr. Jomo ZM Thomas II, LMFTNPI 1336278134
Title
Executive Director
Phone
(313) 806-2852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2103 Mud Lake Rd
Plant City, FL 33566-1009

Mailing address

5202 Coto PL
Valrico, FL 33596-8264
Phone (313) 806-2852

Other identifiers 1

IdentifierTypeStateIssuer
1336278134MedicaidCO

Other names 1

  • BFS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260527003120 FL Part B Supplier - Clinic/Group Practice 4284113556 Receives reassigned benefits from 1 practitioner
Practice locations: Plant City, FL

National Provider Directory

National Provider Directory

Locations

2103 Mud Lake Rd
Plant City, FL 33566
Phone (813) 752-4591

2301 Mud LK Rd
Plant City, FL 33566
Phone (800) 296-9692

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1932918927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 COTO PL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335968264",
            "telephone_number": "313-806-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 MUD LAKE RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335661009",
            "telephone_number": "813-752-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOMO",
        "authorized_official_middle_name": "ZM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-806-2852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336278134",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BFS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.