Individual provider Active NPI

Demetra L Thomas, ED.D, LPC-S

  • Professional Counselor
  • Kenner, LA
National Provider Identifier
1982843942
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2896 Issued in LA
Practice address
3301 California Ave
Kenner, LA 70065-3620
Phone
(504) 382-8314
NPI assigned
Feb 16, 2009
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2896 LA Primary

Addresses

Primary practice location

3301 California Ave
Kenner, LA 70065-3620

Mailing address

3301 California Ave
Kenner, LA 70065-3620
Phone (504) 382-8314

Other practice location 1

2841 S Claiborne Ave Ste E
New Orleans, LA 70125-3951
Phone (504) 534-1225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925002599 LA Practitioner - Mental Health Counselor 5597206961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Louisiana LLCGroup PAC ID 6406261387, 26 clinicians

Practice addresses (Care Compare)

2841 S Claiborne Ave
Suite E
New Orleans, LA 70125-3951
Phone (504) 534-1225

4800 Chef Menteur Hwy
Suite a
New Orleans, LA 70126-5000
Phone (504) 534-1227

6521 Airline Dr
Metairie, LA 70003-5113
Phone (504) 534-1226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2896LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Louisiana LLC CurrentSince Sep 9, 2024 Accepting new patients
Divine Beginnings Counseling LLC Professional PastSince Aug 11, 2024 Accepting new patients

Locations

5151 Plank Rd
Ste 210
Baton Rouge, LA 70805
Phone (225) 500-7028

6521 Airline Dr
Metairie, LA 70003
Phone (504) 534-1226

2841 S Claiborne Ave
Ste E
New Orleans, LA 70125
Phone (504) 534-1225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1982843942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 CALIFORNIA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653620",
            "telephone_number": "504-382-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CALIFORNIA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653620",
            "telephone_number": "504-382-8314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2841 S Claiborne Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701253951",
            "country_code": "US",
            "telephone_number": "504-534-1225",
            "fax_number": "504-553-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DEMETRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "ED.D, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.