JACK ROBERT THOMAS (NPI# 1912004888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912004888 |
| Entity Type | Individual |
| Full Name | JACK ROBERT THOMAS |
| Credential | MA |
| Practice Address |
1100 S 2nd St Mount Vernon WA 98273-4209 |
| Mailing Address |
Po Box 1307 La Conner WA 98257-1307 |
| Practice Telephone | 3641935513 |
| Mailing Telephone | 3604660130 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
RC00036751 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013107036 | Jack E. Thomas | Psychologist | 2108 S Locust Ct, Bloomington, IN 47401-6751 | 2007-07-26 |
| 1093838435 | Jack R. Thomas | Pharmacist | 100 Johnson, Chelan, WA 98816 | 2007-04-09 |
| 1306101506 | Jack R Thomas | Chiropractor | 309 N State St, Orem, UT 84057-4747 | 2012-07-12 |
| 1578876728 | Jack Clayton Thomas | Optometrist | 2700 Paramount Blvd, Suite 650, Amarillo, TX 79109-3009 | 2010-07-16 |
| 1780813410 | Jack E Thomas | Speech-Language Pathologist | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-07-02 |
| 1306924626 | Jack M Thomas | Specialist | 4101 Wesley St, Suite B, Greenville, TX 75401-5635 | 2006-11-02 |
| 1871691543 | Jack G Thomas | Family Medicine | 938 2nd Ave W, Dickinson, ND 58601-3916 | 2006-09-20 |
| 1043247257 | Jack E Thomas Jr. | Dentist | 5455 Meridian Mark Rd, Ste 210, Atlanta, GA 30342 | 2006-06-26 |
| 1457317877 | Jack Thomas | Psychologist | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2006-04-25 |
| Street Address |
1100 S 2ND ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396787784 | Troy H Husband | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2006-06-12 |
| 1003463886 | John Camacho | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2019-08-26 |
| 1891358446 | Amanda Timm | Behavior Technician | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2019-04-18 |
| 1790243467 | Sonia Sleiman | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2019-03-12 |
| 1699232116 | Gina Lillie-ann Nisbet | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2019-02-21 |
| 1194296798 | Andrew Reed Dickens | Peer Specialist | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-12-08 |
| 1053886671 | Michelle Rachel Lamore | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-10-10 |
| 1316421639 | David Bradshaw | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-09-21 |
| 1245726959 | Rachael R Mishanec | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-07-05 |
| 1780173369 | Tammie Marie Bennett | Case Manager/Care Coordinator | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1619503489 | Camille Elise Keefe | Counselor | 301 Valley Mall Way Ste 100, Mount Vernon, WA 98273-5462 | 2020-03-12 |
| 1720540396 | Erica Parker-jackson | Counselor | 27 Melrose Ave, Mount Vernon, NY 10552-3108 | 2019-04-03 |
| 1588107585 | Christopher M Reid | Counselor | 306 Highway 1 S Ste B, Mount Vernon, IA 52314-9501 | 2016-11-22 |
| 1093262933 | Kristine Grace Ford | Counselor | 2203 Old Hwy 99 S, Mount Vernon, WA 98273 | 2016-09-08 |
| 1568919082 | Douglas Bryant Srour | Counselor | 256 Washington Street, Mount Vernon, NY 10553 | 2016-09-01 |
| 1629442959 | Whitney Baldridge | Counselor | 16342 N Il Highway 37, Mount Vernon, IL 62864-8178 | 2015-11-24 |
| 1811368343 | Lessie Lacy | Counselor | 423 S 8th Ave, Mount Vernon, NY 10550-4326 | 2015-10-09 |
| 1588044887 | Haile Selassie | Counselor | 138 S Columbus Ave, Mount Vernon, NY 10553-1337 | 2015-06-02 |
| 1336543412 | Randy Graeme Bennett | Counselor | 120 E Fir St Ste 102, Mount Vernon, WA 98273-2964 | 2014-10-17 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on JACK ROBERT 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.