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BREANNA THOMAS
NPI 1962093070
Counselor in Carbondale, IL

Active since February 01, 2021
2411 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 615-9754 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanna Thomas NPPES

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

BREANNA THOMAS (NPI 1962093070) is an individual counselor in Carbondale, Illinois and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1962093070
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameBREANNA THOMAS
Location Address2411 S ILLINOIS AVECarbondale, IL 62903-5913
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483
Phone(618) 615-9754
Sole ProprietorNo
Enumeration DateFebruary 1, 2021
Last NPPES UpdateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1962093070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
2411 S ILLINOIS AVE, Carbondale, IL 62903
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Other Providers at the Same Location NPPES 20

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

CENTERSTONE OF ILLINOIS, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 937-6483
ALLYSSA KOWALIS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
JOHNATHAN JACKSON BS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (855) 608-3560
CHANTEL JACOBS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
TAYLOR SERRATA
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754
AHMED BUKHAMSIN BS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
JAYME ANN MCCARROLL MA
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754
CHELSEA BLIXT
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754

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 Breanna Thomas's NPI number?

The NPI number for Breanna Thomas is 1962093070. It was assigned to this individual provider in the NPPES registry on February 1, 2021.

Where is Breanna Thomas located?

Breanna Thomas practices at 2411 S Illinois Ave, Carbondale, IL 62903. The listed phone number is (618) 615-9754.

What is Breanna Thomas'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 Breanna Thomas was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.