Marnie Thomas

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012521 Issued in MI

Practice address

5360 Holiday Ter Ste 18
Kalamazoo, MI 49009-2126

Phone

(269) 447-1211

Fax

(269) 222-9007

NPI assigned

Jul 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Intentional Growth LLC

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1407396286
  NPD (past) Authorized official

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972890259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 HOLIDAY TER STE 18",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092126",
            "telephone_number": "269-447-1211",
            "fax_number": "269-222-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 HOLIDAY TER STE 18",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092126",
            "telephone_number": "269-447-1211",
            "fax_number": "269-222-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARNIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Thomas, LLMSW
• David Todd Thomas, MA, LPC
• Elizabeth Thomas
• John Edward Thomas, DDS
• Kayleigh Thomas
• Olivia Thomas
• Riley P Thomas
• Susan Jane Thomas, OTRL
• Symone S Thomas, M.A., LLC
• Zerah Thomas, BS

• Professional Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.