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ETHAN THOMAS
NPI 1811388564
Counselor - Mental Health in Jacksonville, FL

Active since February 16, 2015
1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216(904) 899-4500 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Thomas NPPES

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

ETHAN THOMAS (NPI 1811388564) is an individual mental health provider in Jacksonville, Florida, licensed in Colorado (LPC5362) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1811388564
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameETHAN THOMAS
Location Address1900 CORPORATE SQUARE BLVDJacksonville, FL 32216-1941
Mailing Address1900 Corporate Square BlvdJacksonville, FL 32216-1941 · (904) 899-4500
Phone(904) 899-4500
Sole ProprietorNo
Enumeration DateFebruary 16, 2015
Last NPPES UpdateJune 24, 2015
✔ NPI 1811388564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPC5362
1900 CORPORATE SQUARE BLVD, Jacksonville, FL 32216
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Other Providers at the Same Location NPPES 19

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

MRS. MARISSA P GARCIA MSH, R.D
Dietitian, Registered
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 899-4500
DANA REYNOLDS
Nurse Practitioner (Primary Care)
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 899-4500
CHERIE DANIELLE NICHOLSON APRN
Nurse Practitioner (Family)
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 899-4500
EMILY BRADNER RD, LD
Dietitian, Registered
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 899-4500
KEVIN R. HOLBERT M.D.
Psychiatry & Neurology (Addiction Medicine)
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 899-4500
DIAMOND GILCRIST PTA
Physical Therapy Assistant
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 899-4500
NORTH FLORIDA ADDICTION MEDICINE
Clinical Medical Laboratory
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Duval County (954) 691-0856
CIARA FERNANDEZ LMHC
Counselor (Mental Health)
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 703-8423

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 Ethan Thomas's NPI number?

The NPI number for Ethan Thomas is 1811388564. It was assigned to this individual provider in the NPPES registry on February 16, 2015.

Where is Ethan Thomas located?

Ethan Thomas practices at 1900 Corporate Square Blvd, Jacksonville, FL 32216. The listed phone number is (904) 899-4500.

What is Ethan Thomas's specialty?

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

When was this NPI record last updated?

The NPPES record for Ethan Thomas was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.