MR. THOMAS WAYNE WASHBURN PSYD, LPC
NPI 1396902029
Counselor - Mental Health in Waynesville, MO

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
704 HISTORIC 66 W, WAYNESVILLE, MO 65583(573) 528-2654 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Thomas Wayne Washburn Psyd, Lpc NPPES

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

MR. THOMAS WAYNE WASHBURN PSYD, LPC (NPI 1396902029) is an individual mental health provider in Waynesville, Missouri, licensed in Missouri (2007022666) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396902029
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. THOMAS WAYNE WASHBURNCredential: PSYD, LPC
Location Address704 HISTORIC 66 WWaynesville, MO 65583-2136
Mailing Address704 Historic 66 WWaynesville, MO 65583-2136 · (573) 528-2654
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 20, 2008
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1396902029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MO · 2007022666
Also ListedCounselorTaxonomy 101Y00000X · License 2007022666 (MO)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2007022666 (MO)
704 HISTORIC 66 W, Waynesville, MO 65583

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas Wayne Washburn Psyd, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032659958
PECOS Enrollment IDI20240906000472
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 Thomas Washburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
19781 SUGAR LN
Waynesville, MO 65583
  • Reassigned Medicare billing, Missouri enrollment
  • 15 clinicians in this Medicare group

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 2

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

Counselor (Mental Health)
704 HISTORIC 66 W, SUITE 207
WAYNESVILLE, MO 65583
Counselor (Professional)
704 HISTORIC 66 W
WAYNESVILLE, MO 65583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Washburn's NPI number?

The NPI number for Thomas Washburn is 1396902029. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Thomas Washburn located?

Thomas Washburn practices at 704 Historic 66 W, Waynesville, MO 65583. The listed phone number is (573) 528-2654.

What is Thomas Washburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Thomas Washburn enrolled in Medicare?

Yes. Thomas Washburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thomas Washburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Washburn reassigns Medicare benefits to Hope Connections, LLC (Waynesville, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Washburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Washburn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Thomas Washburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Washburn was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.