Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811388564 Individual Practitioner Male Practitioner

Ethan Thomas

Counselor - Mental Health • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Ethan Thomas is a registered healthcare professional specializing in Counselor - Mental Health in Jacksonville, FL. Practice services are available at 1900 CORPORATE SQUARE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 Corporate Square Blvd

Jacksonville, FL 322161941

Telephone 9048994500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
1409 Specialists

Practicing in Jacksonville, FL (23930 Statewide)

Telehealth Adoption Rate
3.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License CO LPC5362

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Marissa Garcia , MSH, RD

Dietitian, Registered

NPI 1053480749

MSH, Registered Dietitian

Dana Reynolds

Nurse Practitioner - Primary Care

NPI 1104282748
Cherie Nicholson , APRN

Nurse Practitioner - Family

NPI 1124683214

Advanced Practice Registered Nurse

Emily Bradner , RD, LD

Dietitian, Registered

NPI 1366177792

Registered Dietitian, Licensed Dietitian

Dr. Kevin Holbert , MD

Psychiatry & Neurology - Addiction Medicine

NPI 1376768440

Doctor of Medicine (M.D.)

Diamond Gilcrist , PTA

Physical Therapy Assistant

NPI 1386280022

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2015

Registered at 1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 322161941 (Tel: 9048994500)

📍
Updated Business Mailing Address June 24, 2015

Registered at 1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 322161941 (Tel: 9048994500)

👤
Provider Name / Credentials Updated June 24, 2015

Recorded as ETHAN THOMAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2015

Counselor (License #LPC5362 in CO)

🟢
Initial NPI Registration & Enumeration February 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811388564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2015
Last Update: June 24, 2015
Sole Proprietor: No

Mailing Address

1900 Corporate Square Blvd

Jacksonville, FL 322161941

Phone: 9048994500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.