Individual provider Active NPI

Amy Thomas, LCSW-C

  • Mental Health Counselor
  • Easton, MD
National Provider Identifier
1992175079
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8614 Ocean Gtwy
Suite 4
Easton, MD 21601-7217
Phone
(410) 690-8181
Fax
(410) 690-8185
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC2016 MD
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8614 Ocean Gtwy
Suite 4
Easton, MD 21601-7217

Mailing address

8614 Ocean Gtwy
Suite 4
Easton, MD 21601-7217
Phone (410) 690-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240124004581 MD Practitioner - Mental Health Counselor 5597118687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peace of Mind Mental Health Services LLCGroup PAC ID 6103047436, 13 clinicians

Practice addresses (Care Compare)

29315 Erickson Dr
Easton, MD 21601-8651
Phone (410) 690-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC2016MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Mental Health Services LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

8614 Ocean Gtwy
Ste 4
Easton, MD 21601
Phone (410) 690-8181

29315 Erickson Dr
Easton, MD 21601
Phone (410) 690-8181

Organizations & group practices 1

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": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1992175079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 OCEAN GTWY",
            "address_2": "SUITE 4",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017217",
            "telephone_number": "410-690-8181",
            "fax_number": "410-690-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 OCEAN GTWY",
            "address_2": "SUITE 4",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017217",
            "telephone_number": "410-690-8181",
            "fax_number": "410-690-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC2016",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.