KENNETH THOMAS (NPI# 1316589534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316589534 |
| Entity Type | Individual |
| Full Name | KENNETH THOMAS |
| Credential | LADAC |
| Practice Address |
7 Rio San Jose Laguna NM 87026 |
| Practice Telephone | 5054018369 |
| Mailing Telephone | 5054018369 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3658 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NEW MEXICO BEHAVIORAL HEALTH | 3658 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205264140 | Kenneth Thomas | Counselor | 1010 E Southern Ave, 2, Phoenix, AZ 85040-3123 | 2013-10-30 |
| 1801153374 | Kenneth Lee Thomas | Radiologic Technologist | 166 Carolina Paradise Rd, Rutherfordton, NC 28139-8332 | 2012-04-20 |
| 1033495163 | Kenneth Fred Thomas Jr. | Physical Therapist | 1072 Market St Lowr Level, Sunbury, PA 17801-2458 | 2011-11-03 |
| 1124318811 | Kenneth N Thomas | Counselor | 3064 Penn Estates, East Stroudsburg, PA 18301-8696 | 2011-04-14 |
| 1083792071 | Kenneth C Thomas | Chiropractor | 2500 Walnut Hill Ln, Dallas, TX 75229-5609 | 2006-11-01 |
| 1124115506 | Kenneth L Thomas | Optometrist | 1372 W Robinhood Dr, Suite D, Stockton, CA 95207-5513 | 2006-10-06 |
| 1114020203 | Kenneth Darrell Thomas | Dentist | 250 East 300 South, Suite 320, Salt Lake City, UT 84111 | 2006-09-06 |
| 1033132568 | Kenneth C Thomas | Counselor | Smallwood Building, 2670 Crain Highway, Suite 525, Waldorf, MD 20601 | 2006-07-25 |
| 1689626566 | Kenneth Hunt Thomas | Anesthesiology | 7311 Van Nuys Blvd, Van Nuys, CA 91405-1999 | 2006-05-17 |
| 1659361350 | Kenneth A Thomas | Chiropractor | 320 Eureka Sq, Pacifica, CA 94044-2652 | 2005-10-24 |
| Street Address |
7 RIO SAN JOSE |
| City | LAGUNA |
| State | NM |
| Zip Code | 87026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698281 | Nelda Martinez | Counselor | 7 Rio San Jose, Laguna, NM 87026 | 2020-01-09 |
| 1063051555 | Denise Hunt | Behavior Technician | 7 Rio San Jose, Laguna, NM 87026 | 2019-12-31 |
| 1598304073 | Tina Jojola | Behavior Technician | 7 Rio San Jose, Laguna, NM 87026 | 2019-12-31 |
| 1609415298 | Renee L Levaldo | Behavior Technician | 7 Rio San Jose, Laguna, NM 87026 | 2019-12-30 |
| 1902440191 | Lori Anne Vallejos | Social Worker | 7 Rio San Jose, Laguna, NM 87026 | 2019-10-31 |
| 1831733070 | David Allen Natseway | Counselor | 7 Rio San Jose, Laguna, NM 87026 | 2019-10-31 |
| 1558904102 | Christina Martinez | Peer Specialist | 7 Rio San Jose, Laguna, NM 87026 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833589 | Davina M Segay | Prevention Professional | 7 Rio San Jose St, Laguna, NM 87026 | 2019-10-25 |
| 1467094029 | Donovan Lucero | Peer Specialist | 7 Rio San Jose Dr, Laguna, NM 87026 | 2019-10-15 |
| 1528586435 | Romilly Ortiz | Physician Assistant | 129 Medicine Horse Dr, Canoncito, NM 87026 | 2017-08-31 |
| 1174071534 | Laguna Early Childhood Program | Early Intervention Provider Agency | I40 W 114 Bldg 1125, Laguna, NM 87026 | 2016-09-14 |
| 1629525605 | Canoncito Band of Navajos Health Center, Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 129 Medicine Horse Road, Canoncito, NM 87026 | 2016-09-07 |
| 1144535337 | Lisa Marie King | Counselor | 86 Medicine Horse Dr., 86 Medicine Horse Dr., Canoncito, NM 87026 | 2010-08-11 |
| 1619151651 | Rosi Aragon | Counselor | Tbhs Building, I-40, 26 Mi. W. of Abq, Exit 131, 3 Mi. N., To'hajiilee, NM 87026 | 2007-12-27 |
| 1538343579 | Canoncito Band of Navajo Health Center, Inc | Community/Behavioral Health | 96 Medicine Horse Dr., To'hajiilee, NM 87026 | 2007-12-27 |
| 1992999296 | Ruth Lynne Kelly | Social Worker | I40 W Exit 131 Highway 56 N, Acl Teen Centers To'hajiilee Community School, To'hajiilee, NM 87026 | 2007-08-29 |
| 1194941823 | Mary Frances Sarracino | Social Worker | Exit 114, Us Route 66, Laguna, NM 87026 | 2007-04-18 |
| Find all providers in zip 87026 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698281 | Nelda Martinez | Counselor | 7 Rio San Jose, Laguna, NM 87026 | 2020-01-09 |
| 1831733070 | David Allen Natseway | Counselor | 7 Rio San Jose, Laguna, NM 87026 | 2019-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260964 | New Mexico Guided Healing, LLC | Counselor | 4061 Ridge Rock Rd Se Ste C, Rio Rancho, NM 87124-7627 | 2020-09-19 |
| 1366068025 | Benjamin Fields | Counselor | 1208 Paseo Del Pueblo Norte, El Prado, NM 87529-8752 | 2020-06-18 |
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1558980763 | Jason L Ferrell | Counselor | 195 Juniper Rd, Ruidoso, NM 88345-6636 | 2020-04-09 |
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1245865468 | Bonnie Marie Catanach | Counselor | 3136 Jemez Rd, Santa Fe, NM 87507-8004 | 2020-03-09 |
| 1710519731 | Brenda Sue Burgard | Counselor | 1424 Deborah Rd Se Ste 205, Rio Rancho, NM 87124-6619 | 2020-02-07 |
| 1780216101 | Ross Jenkins | Counselor | 579 White Swan Road, Ohkay Owingeh, NM 87566 | 2020-02-05 |
| 1033740469 | Rhianna Alexandra Feeney | Counselor | County Rd 49 Pvt Dr 1098, Velarde, NM 87582-1596 | 2020-02-04 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.