THOMAS RICHARD MICHAEL BALKCOM LPC
NPI 1457570939
Counselor in Brookhaven, MS

Q: What is Thomas Richard Balkcom's NPI number?

The NPI number for Thomas Richard Balkcom is 1457570939. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Thomas Richard Balkcom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since April 24, 2007

1107 S JACKSON ST, BROOKHAVEN, MS 39601(601) 833-1507 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas Richard Michael Balkcom Lpc NPPES

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

THOMAS RICHARD MICHAEL BALKCOM LPC (NPI 1457570939) is an individual counselor in Brookhaven, Mississippi, licensed in Mississippi (1181) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1457570939

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameTHOMAS RICHARD MICHAEL BALKCOMCredential: LPC

Location Address1107 S JACKSON STBrookhaven, MS 39601-4609

Mailing Address1107 S Jackson StBrookhaven, MS 39601-4609 · (601) 833-1507

Phone(601) 833-1507

Sole ProprietorYes

Enumeration DateApril 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1457570939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MS · 1181

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1107 S JACKSON ST, Brookhaven, MS 39601

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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 Richard Balkcom's NPI number?

The NPI number for Thomas Richard Balkcom is 1457570939. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Thomas Richard Balkcom located?

Thomas Richard Balkcom practices at 1107 S Jackson St, Brookhaven, MS 39601. The listed phone number is (601) 833-1507.

What is Thomas Richard Balkcom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Thomas Richard Balkcom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.