MR. THOMAS WATSON BASS III (NPI# 1457671430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457671430 |
| Entity Type | Individual |
| Full Name | MR. THOMAS WATSON BASS III |
| Credential | L.P.C |
| Practice Address |
125 Townpark Dr Nw Suite 300 Kennesaw GA 30144-5803 |
| Practice Telephone | 4045531291 |
| Mailing Telephone | 4045531291 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC005869 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265468367 | Thomas L Bass | Surgery | 4519 Tilton Court, Fort Myers, FL 33907 | 2006-06-23 |
| 1609339639 | Thomas M Bass | Pharmacist | 9215 E Highway 140, Planada, CA 95365-8245 | 2019-04-08 |
| 1699850859 | Thomas Bass | Social Worker | 992 1/2 Green Bay Rd, Winnetka, IL 60093-1722 | 2006-10-26 |
| Street Address |
125 TOWNPARK DR NW SUITE 300 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093958274 | Alina M Stelzer | Counselor | 125 Townpark Dr Nw, Suite 300, Kennesaw, GA 30144-5803 | 2009-04-17 |
| 1417402942 | Sculptrx Inc | Anesthesiology | 125 Townpark Dr Nw, Ste 300, Kennesaw, GA 30144-5803 | 2016-08-25 |
| 1598117848 | Full Blossom Behavioral Health Consultants, LLC | Social Worker | 125 Townpark Dr Nw, 300, Kennesaw, GA 30144-5803 | 2016-07-11 |
| 1669729661 | Donald E. Coltrane | Psychologist | 125 Townpark Dr Nw, Suite 300, Kennesaw, GA 30144-5812 | 2012-08-08 |
| 1659676765 | Brandi Wells | Psychologist | 125 Townpark Dr Nw, Suite 300, Kennesaw, GA 30144-5803 | 2011-01-20 |
| 1356679625 | Healing Psychotherapy Practices of Georgia | Counselor | 125 Townpark Dr Nw, Suite 300, Kennesaw, GA 30144-5803 | 2009-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241451 | Anila Asghar Malik | Counselor | 3164 Kirkwood Dr Nw, Kennesaw, GA 30144-2354 | 2019-12-04 |
| 1386289213 | Sarah Michelle Howell | Counselor | 1301 Shiloh Rd Nw Ste 340, Kennesaw, GA 30144-7151 | 2019-11-14 |
| 1558905992 | Edward Patrick Craven Jr. | Counselor | 3745 Cherokee St Nw Ste 607, Kennesaw, GA 30144-6733 | 2019-10-29 |
| 1831698869 | In Control Counseling Services, LLC | Counselor | 3895 Mountain View Rd Nw, Kennesaw, GA 30152-2388 | 2018-02-05 |
| 1619407020 | Pauline Waweru | Counselor | 1301 Shiloh Rd Nw Ste 1811, Kennesaw, GA 30144-7171 | 2017-06-18 |
| 1285161463 | Jennifer Y Hahn | Counselor | 3070 N Main St Nw Ofc 10, Kennesaw, GA 30144-2756 | 2017-05-18 |
| 1427590090 | Jennifer Lee Wells | Counselor | 1425 Ridenour Blvd Nw Apt 8108, Kennesaw, GA 30152-4570 | 2016-11-13 |
| 1104279637 | Gloria Dunston | Counselor | 1575 Ridenour Pkwy Nw, Apt. 1823, Kennesaw, GA 30152-4714 | 2016-07-20 |
| 1972961357 | Brent C Harris | Counselor | 4010 Sumit Wood Dr Nw, Kennesaw, GA 30152-4155 | 2016-02-01 |
| 1760888978 | Tiffany Webb | Counselor | 1301 Shiloh Rd Nw Ste 840, Kennesaw, GA 30144-7156 | 2014-11-15 |
| Find all providers in KENNESAW | ||||
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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.