CANDACE THOMAS (NPI# 1912371550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912371550 |
| Entity Type | Individual |
| Full Name | CANDACE THOMAS |
| Practice Address |
612 E Arkansas St Star City AR 71667-4842 |
| Mailing Address |
2500 Rike Dr Pine Bluff AR 71603-3937 |
| Practice Telephone | 8706284181 |
| Practice Fax Number | 8706285369 |
| Mailing Telephone | 8705341834 |
| Mailing Fax Number | 8705345798 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 116378726 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224754 | Candace Michelle Thomas | Speech-Language Pathologist | Ludlow-taylor Elementary School, 659 G Street, Ne, Washington, DC 20002-2000 | 2020-04-22 |
| 1982147112 | Candace Thomas | Case Manager/Care Coordinator | 1136 Sylvan Ave, Martinsville, VA 24112-5208 | 2016-11-20 |
| 1083025241 | Candace Elease Thomas | Technician | 2425 S Pearson Rd, Pearl, MS 39208-9443 | 2014-05-09 |
| 1538494240 | Candace R Thomas | Dentist | 236 Stockbridge Rd Ste A, Jonesboro, GA 30236-3629 | 2009-10-14 |
| 1699906073 | Candace Joy Thomas | Chiropractor | 103 Twinridge Ln, Richmond, VA 23235-5200 | 2009-08-03 |
| 1609088426 | Candace Leotta Thomas | Occupational Therapy Assistant | 121 Lake St, Brooklyn, NY 11223-2734 | 2007-05-04 |
| 1023534401 | Candace Danielle Thomas | Physician Assistant | 317 N King St Ste A, Hendersonville, NC 28792-4349 | 2017-08-17 |
| 1295276863 | Candace Perry Thomas | Counselor | 410 University Pkwy, Suite 1560, Aiken, SC 29801-6810 | 2017-03-16 |
| Street Address |
612 E ARKANSAS ST |
| City | STAR CITY |
| State | AR |
| Zip Code | 71667-4842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326066853 | Cynthia G Slaughter | Social Worker | 612 E Arkansas St, Star City, AR 71667-4842 | 2006-07-17 |
| 1144792755 | Yolanda Williams | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2018-12-20 |
| 1679064828 | Brittany L Wilkins | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2018-05-23 |
| 1154830750 | Larry White | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2017-09-26 |
| 1437679172 | Alexander Black | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2017-06-23 |
| 1194174458 | Kimberly Johnson | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2016-06-08 |
| 1487011375 | Sharon Patterson | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2016-01-22 |
| 1477938827 | Krystal Morgan | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2015-07-28 |
| 1740661842 | Dammiccah Alsup | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2015-06-15 |
| 1093075079 | Kelli L Tyler | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
| 1982193975 | Monticello Medical Clinic, Plc | Family Medicine | 1306 N. Lincoln Avenue, Star City, AR 71667 | 2018-05-04 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1609379346 | Mainline Health Systems, Inc. | Clinic/Center | 310 Ashley St., Star City, AR 71667 | 2018-03-08 |
| 1124565213 | Mainline Health Systems, Inc | Clinic/Center | 310 Ashley St, Star City, AR 71667 | 2017-01-26 |
| 1801105424 | Tammy Renee White | Pharmacist | 1309 North Lincoln Ave, Star City, AR 71667 | 2010-09-30 |
| 1356598783 | Patrick Keith Numan | Counselor | 301 N. Oak St, Star City, AR 71667 | 2008-08-27 |
| 1568669844 | Jeri Lou Farabough | Speech-Language Pathologist | Bradley Street, Star City, AR 71667 | 2007-06-29 |
| 1396768636 | Barbara Diane Weaver | Social Worker | 110 N Drew, Star City, AR 71667 | 2006-07-26 |
| 1336184431 | University of Arkansas for Medical Sciences | Family Medicine | 203 S Jefferson St, Star City, AR 71667 | 2006-06-20 |
| Find all providers in zip 71667 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356598783 | Patrick Keith Numan | Counselor | 301 N. Oak St, Star City, AR 71667 | 2008-08-27 |
| 1144792755 | Yolanda Williams | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2018-12-20 |
| 1679064828 | Brittany L Wilkins | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2018-05-23 |
| 1154830750 | Larry White | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2017-09-26 |
| 1437679172 | Alexander Black | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2017-06-23 |
| 1194174458 | Kimberly Johnson | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2016-06-08 |
| 1487011375 | Sharon Patterson | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2016-01-22 |
| 1477938827 | Krystal Morgan | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2015-07-28 |
| 1740661842 | Dammiccah Alsup | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2015-06-15 |
| 1093075079 | Kelli L Tyler | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2012-05-23 |
| Find all providers in STAR CITY | ||||
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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.