ELLEN SUPER THOMAS LPC
NPI 1417656323
Counselor - Professional in Mableton, GA
About Ellen Super Thomas Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN SUPER THOMAS LPC (NPI 1417656323) is an individual professional provider in Mableton, Georgia, licensed in Georgia (LPC011541) and active in the NPI registry since February 2023. She has opted out of Medicare through March 19, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ellen Super Thomas Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 19, 2024 through March 19, 2028.
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 Ellen Thomas's NPI number?
The NPI number for Ellen Thomas is 1417656323. It was assigned to this individual provider in the NPPES registry on February 28, 2023.
Where is Ellen Thomas located?
Ellen Thomas practices at 783 Creek Glen Rd, Mableton, GA 30126. The listed phone number is (404) 840-8234.
What is Ellen Thomas's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ellen Thomas enrolled in Medicare?
No. Ellen Thomas has opted out of Medicare through March 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ellen Thomas was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
