Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MR. KENNETH HERBERT THOMAS JR. CASAC, LPC
NPI 1023092335
Counselor - Addiction (Substance Use Disorder) in Fort Drum, NY
Active since November 30, 2005
USA MEDDAC, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-8801 Get Directions Write a Review
About Mr. Kenneth Herbert Thomas Jr. Casac, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH HERBERT THOMAS JR. CASAC, LPC (NPI 1023092335) is an individual addiction (substance use disorder) provider in Fort Drum, New York, licensed in New York (8778) and active in the NPI registry since November 2005.
NPPES Registry Identity
NPI1023092335
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KENNETH HERBERT THOMAS JR.Credential: CASAC, LPC
Location AddressUSA MEDDAC, 11050 MT BELVEDERE BLVDFort Drum, NY 13602-4025
Mailing Address106 Rugby RdSyracuse, NY 13206-3225 · (315) 463-6297
Phone(315) 772-8801
Sole ProprietorNo
Enumeration DateNovember 30, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1023092335 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in NY · 8778✔ Licensed in MI · 1234436
USA MEDDAC, Fort Drum, NY 13602
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Nurse Practitioner (Psychiatric/Mental Health)
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Occupational Therapist
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Psychologist (Clinical)
USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Occupational Therapist
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Social Worker
USA MEDDAC, 11050 MT BELVEDERE BLVD.
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Physician Assistant
USA MEDDAC, 11050 MOUNT BELVEDERE BOULEVARD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Social Worker
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Physician Assistant
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Nurse Practitioner (Psychiatric/Mental Health)
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
FORT DRUM, NY 13602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023092335, enumerated as an "individual" on November 30, 2005.
The provider is located at USA MEDDAC 11050 MT BELVEDERE BLVD FORT DRUM, NY 13602 and the phone number is (315) 772-8801.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).