MEDINA DIANE THOMAS LPC
NPI 1285591149
Counselor - Professional in Texarkana, TX

Q: What is Medina Thomas's NPI number?

The NPI number for Medina Thomas is 1285591149. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Q: What is Medina Thomas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Medina Thomas was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 05, 2026PECOS Enrolled

2435 COLLEGE DR, TEXARKANA, TX 75501(800) 446-8253(903) 234-1639 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Medina Diane Thomas Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDINA DIANE THOMAS LPC (NPI 1285591149) is an individual professional provider in Texarkana, Texas, licensed in Texas (94719) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1285591149

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMEDINA DIANE THOMASCredential: LPC

Location Address2435 COLLEGE DRTexarkana, TX 75501-2788

Mailing Address107 Woodbine PlLongview, TX 75601-2912 · (903) 758-2471 · Fax (903) 234-1639

Phone(800) 446-8253

Fax(903) 234-1639

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 5, 2026

NPPES CertifiedJanuary 5, 2026

✔ NPI 1285591149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 94719

2435 COLLEGE DR, Texarkana, TX 75501

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medina Diane Thomas Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052895091

PECOS Enrollment IDI20260318001833

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Medina Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sabine Valley Regional Mhmr Center

75 mi

Mental Health (Including Community Mental Health Center)

107 WOODBINE PL
Longview, TX 75601

Reassigned Medicare billing, Texas enrollment
46 clinicians in this Medicare group

NPI 1639232002 (903) 758-2471

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM K VAHLE LCDC

Counselor (Addiction (Substance Use Disorder))