GAIL THOMAS LPC-S
NPI 1396247565
Counselor - Professional in Houma, LA
NPI Status: Active since March 05, 2018
Contact Information
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
Phone: (985) 860-4631
- Individual
- Female
- Years of Experience 22
- Counselor
- Professional
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About GAIL THOMAS
This page provides the complete NPI Profile along with additional information for Gail Thomas, a provider established in Houma, Louisiana with a medical specialization in Counselor, focusing in professional and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1396247565 assigned on March 2018. The practitioner's primary taxonomy code is 101YP2500X with license number 5536 (LA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1396247565
- Provider Name
- GAIL THOMAS LPC-S
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 235 CIVIC CENTER BLVD HOUMA, LA 70360
- Location Phone
- (985) 860-4631
- Mailing Address
- 214 WOODBURN DR HOUMA, LA 70364
- Mailing Phone
- (985) 860-4631
- Mailing Fax
- Medical School Name
- OTHER
- Graduation Year
- 2004
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-05-2018
- Last Update Date
- 06-23-2023
- Code Navigator
Location Map
Secondary Locations
- 214 Woodburn Dr
Houma, LA 70364
(985) 860-4631 - 117 Focis St Ste 204
Metairie, LA 70005
(985) 860-4631 - 104 Bobby Street
Thibodaux, LA 70301
(985) 860-4631
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 5536
- License State
- LA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 5536 (LA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($5 Tier 2 Rx, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gail Thomas is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Gail Thomas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7113455387
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250115003309
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for GAIL THOMAS LPC-S
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 9 | 6 | 2 | 4 | 7 | 5 | 6 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 18 | 6 | 4 | 4 | 14 | 5 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 8 + 6 + 4 + 4 + 1 + 4 + 5 + 1 + 2 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1396247565 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
START CORPORATION
Clinic/Center
(Federally Qualified Health Center (FQHC))
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
JESSICA G DAVIES LCSW
Social Worker
(Clinical)
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
MELISSA GRIFFIN MCGLOTHREN MSW
Counselor
(Mental Health)
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
MR. HARRY BROWN JR. APRN
Nurse Practitioner
(Psychiatric/Mental Health)
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
ASHLEY MARIE BOUDREAUX LPC
Counselor
(Professional)
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
STEPHANIE LUCILLE BROWN RN
Registered Nurse
(General Practice)
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
DR. RALPH P RILEY D.M.D.
Dentist
(General Practice)
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
MS. LATOYA D CELESTIN
Social Worker
(Clinical)
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
SHAWN M KELLER
Nurse Practitioner
(Family)
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
MARY ELIZABETH NEIL
Counselor
(Mental Health)
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
MRS. BETHANY M LEGENDRE PMHNP-BC
Nurse Practitioner
(Psychiatric/Mental Health)
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
MAGEAN DIGGS
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
MRS. ADRIA CHRISTINE ODOM
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
MEAGAN BURTON
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
HANNAH BOURG AA
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
MELISSA SMITH
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
SAGE MARIE BOWMAN
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
AMANDA TRIGG
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
KATIE DANOS
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA
ZIP 70360
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396247565, enumerated as an "individual" on March 05, 2018.
The provider is located at 235 CIVIC CENTER BLVD HOUMA, LA 70360 and the phone number is (985) 860-4631.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.