MS. SANDRA THOMAS (NPI# 1710120753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710120753 |
| Entity Type | Individual |
| Full Name | MS. SANDRA THOMAS |
| Credential | MSW |
| Practice Address |
5440 Thornbriar Ln Fort Wayne IN 46835-3886 |
| Practice Telephone | 2604844600 |
| Practice Fax Number | 2604844002 |
| Mailing Telephone | 2604844600 |
| Mailing Fax Number | 2604844002 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821600503 | Sandra D Thomas | Technician | 3700 9th St Se Apt 125, Washington, DC 20032-4009 | 2020-08-23 |
| 1033611439 | Sandra Thomas | Nurse Practitioner | 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281-7343 | 2018-03-02 |
| 1295904019 | Sandra Elaine Thomas | Social Worker | 7619 Las Flores, Houston, TX 77083-4463 | 2008-02-26 |
| 1508983800 | Sandra Ann Thomas | Pharmacist | 401 West Main Street, Hutchinson Drugstore, Lexington, KY 40507 | 2007-03-23 |
| 1083754568 | Sandra Thomas | Nurse Practitioner | Us Highway 421, Mckee, KY 40447 | 2007-02-07 |
| 1760496236 | Sandra Marie Thomas | Social Worker | 5900 York Road, Suite 106, Baltimore, MD 21212 | 2006-07-28 |
| 1043239064 | Sandra S. Thomas | Social Worker | 160 N 7th St, Suite A, Grover Beach, CA 93433-2070 | 2006-07-19 |
| 1932152709 | Sandra Kay Thomas | Specialist | 1009 Falls Pkwy, Marble Falls, TX 78654-4630 | 2006-05-19 |
| 1437636214 | Sandra Gail Thomas II | Behavior Technician | 329 E 149th St, Bronx, NY 10451-5625 | 2018-07-24 |
| 1639695885 | Sandra L Thomas | Counselor | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| Street Address |
5440 THORNBRIAR LN |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46835-3886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1801144464 | Tracey Gordon | Physical Therapy Assistant | 2827 Northgate Boulevard, Fort Wayne, IN 46835 | 2012-08-29 |
| 1316179682 | Janet L Daniel | Counselor | 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 | 2009-08-20 |
| 1083868863 | Nicholas Joseph Sullivan | Chiropractor | 8320 Chapel Bend Drive, Fort Wayne, IN 46835 | 2008-11-06 |
| 1497922090 | Michelle A Bailey | Registered Nurse | 6108 Maplecrest Road, Fort Wayne, IN 46835 | 2008-05-13 |
| 1073789954 | Charles Arthur Bolinger | Technician, Other | 4546 Maplecrest Rd, Ft Wayne, IN 46835 | 2008-05-01 |
| 1851469878 | Richard J Klaehn | Optometrist | 4536 Maplecrest Road, Ft. Wayne, IN 46835 | 2006-11-30 |
| 1639272339 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6220 St Joseph Center Rd, Fort Wayne, IN 46835 | 2006-09-07 |
| 1275649014 | Adrienne Meyer | Pharmacist | 7909 Brixham Place, Fort Wayne, IN 46835 | 2006-08-22 |
| 1750378147 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4430 Elsdale Dr, Fort Wayne, IN 46835 | 2005-09-30 |
| Find all providers in zip 46835 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114401080 | Robin Gene Vandeventer | Counselor | 2200 Lake Ave Ste 225, Fort Wayne, IN 46805-5364 | 2018-09-18 |
| 1023544533 | Emily Martin | Counselor | 4646 W Jefferson Blvd Ste 100, Fort Wayne, IN 46804-6832 | 2017-05-03 |
| 1467995035 | Heather Sue Bleeke | Counselor | 830 Ivy Creek Cv, Fort Wayne, IN 46804-3581 | 2016-11-29 |
| 1437604014 | Donald Luedke | Counselor | 427 W Washington Blvd, Fort Wayne, IN 46802-2915 | 2016-08-24 |
| 1306208400 | Tracy Cain | Counselor | 431 Fairmont Place, Fort Wayne, IN 46808-1116 | 2016-03-28 |
| 1144600982 | Megan Kostrubanic | Counselor | 2420 N Coliseum Blvd Ste 206, Fort Wayne, IN 46805-3139 | 2015-06-07 |
| 1336579754 | Interdisciplinary Community Autism Network, Inc | Counselor | 409 E Cook Rd, Suite 100, Fort Wayne, IN 46825-3600 | 2013-11-21 |
| 1477823151 | Gregory Wayne Isch | Counselor | 7230 Engle Rd Ste 305, Fort Wayne, IN 46804 | 2012-01-11 |
| 1508034091 | John Patrick Nolan | Counselor | 6015 Dichotomy Ct, Fort Wayne, IN 46835-2063 | 2008-02-18 |
| 1669526653 | Tyler James Zielasko | Counselor | 3894 New Vision Dr, Fort Wayne, IN 46845-1708 | 2007-01-23 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46835 |
Please comment or provide details below to improve the information on MS. SANDRA THOMAS.
| 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.