Organization Active NPI

Dana a. Thomason PA

  • Professional Counselor
  • Clarksville, AR
National Provider Identifier
1972263101
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DANA A. THOMASON PA
Practice address
910 S Rogers St Ste B
Clarksville, AR 72830-4331
Phone
(479) 264-1241
NPI assigned
Dec 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Dr. Dana A Thomason, LPC, NCC, CCMHCNPI 1437228814
Title
President
Phone
(479) 264-1241

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

910 S Rogers St Ste B
Clarksville, AR 72830-4331

Mailing address

2027 S Verona Ave
Russellville, AR 72802-2703
Phone (479) 264-1241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240613000179 AR Part B Supplier - Clinic/Group Practice 6204378664 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, AR

National Provider Directory

National Provider Directory

Locations

910 S Rogers St
Ste B
Clarksville, AR 72830
Phone (479) 264-1241

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": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1972263101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 S VERONA AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728022703",
            "telephone_number": "479-264-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S ROGERS ST STE B",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304331",
            "telephone_number": "479-264-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA A. THOMASON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-264-1241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, NCC, CCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.