Active NPI
Debra Jane Thornton, NCC , LPC
- Professional Counselor
- Thornton, CO
National Provider Identifier
1982182366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0014226
- Practice address
- 12915 Jasmine CT
Thornton, CO 80602-7898 - Phone
- (210) 643-5628
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0014226 | CO | Primary |
Addresses
Primary practice location
12915 Jasmine CT
Thornton, CO 80602-7898
Mailing address
12915 Jasmine CT
Thornton, CO 80602-7898
Phone (210) 643-5628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240430000789 | CO | Practitioner - Mental Health Counselor | 9638519200 | Reassigns benefits to 1 organization |
| I20250310003486 | NC | Practitioner - Mental Health Counselor | 9638519200 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0014226 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind PC | Professional | Current | Accepting new patients |
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316
Organizations & group practices 2
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": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1982182366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12915 JASMINE CT",
"city": "THORNTON",
"state": "CO",
"postal_code": "806027898",
"telephone_number": "210-643-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12915 JASMINE CT",
"city": "THORNTON",
"state": "CO",
"postal_code": "806027898",
"telephone_number": "210-643-5628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "DEBRA",
"middle_name": "JANE",
"credential": "NCC , LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0014226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.