Bobby Lowell Thomas, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1901542 Issued in OH

Practice address

1080 Nimitzview Dr Ste 200
Cincinnati, OH 45230-4300

Phone

(859) 802-7066

Fax

(513) 449-2022

NPI assigned

Jun 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 13, 2024 through Oct 13, 2026

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.

• Creekside Therapy Center LLC

  • Professional Counselor
  • Cincinnati, OH
  • NPI 1124509393
  NPD (past)

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1982053922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 NIMITZVIEW DR STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304300",
            "telephone_number": "859-802-7066",
            "fax_number": "513-449-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NIMITZVIEW DR STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304300",
            "telephone_number": "859-802-7066",
            "fax_number": "513-449-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4030 Mount Carmel Tobasco Rd",
            "address_2": "ste 209",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452553400",
            "country_code": "US",
            "telephone_number": "513-718-0886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Houston Rd Ste 29",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424879",
            "country_code": "US",
            "telephone_number": "859-802-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BOBBY",
        "middle_name": "LOWELL",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C1500377",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Thomas
• Armondo Thomas
• Ashley Marie Thomas, SPECIMEN COLLECTOR
• Beatrice Catherine Thomas, MD
• Bethany Ann Thomas
• Brittany Thomas
• Brittany R Thomas, M.A., CCC-SLP
• Bynasia Thomas
• Cameron W Thomas, M.D.
• Carla Marie Thomas, BS, CD(DONA), CLE

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.