THERESA MECHELLE THOMAS
NPI 1790315752
Counselor - Professional in Winder, GA

Active since January 17, 2020Opted out of Medicare · through Jan 19, 2028
46 S BROAD ST, WINDER, GA 30680(770) 246-2822 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, Jan 17, 2020 (2 updates tracked since 2020).

About Theresa Mechelle Thomas NPPES

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

THERESA MECHELLE THOMAS (NPI 1790315752) is an individual professional provider in Winder, Georgia, licensed in Georgia (LPC010110) and active in the NPI registry since January 2020. She has opted out of Medicare through January 19, 2028.

NPPES Registry Identity

NPI1790315752
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTHERESA MECHELLE THOMAS
Location Address46 S BROAD STWinder, GA 30680-2038
Mailing Address46 S Broad StWinder, GA 30680-2038 · (770) 246-2822
Sole ProprietorNo
Enumeration DateJanuary 17, 2020
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1790315752 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 GA · LPC010110
46 S BROAD ST, Winder, GA 30680

Other Identifiers 1

OtherLPC010110GA · State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Theresa Mechelle Thomas 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 January 19, 2024 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2024
Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
46 S BROAD ST
WINDER, GA 30680
Counselor (Mental Health)
46 S BROAD ST
WINDER, GA 30680
Counselor (Professional)
46 S BROAD ST
WINDER, GA 30680

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 Theresa Thomas's NPI number?

The NPI number for Theresa Thomas is 1790315752. It was assigned to this individual provider in the NPPES registry on January 17, 2020.

Where is Theresa Thomas located?

Theresa Thomas practices at 46 S Broad St, Winder, GA 30680. The listed phone number is (770) 246-2822.

What is Theresa Thomas's specialty?

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

Is Theresa Thomas enrolled in Medicare?

No. Theresa Thomas has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Theresa Thomas accept?

Health plans from Alliant Health Plans, Inc. list Theresa Thomas 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 Theresa Thomas was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.