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Active NPI 1073143004 Individual Practitioner Male Practitioner

Damani Jevon Thomas

Counselor • Shelton, WA

Professional Overview & Biography Verified Profile Summary

Damani Thomas is a registered healthcare professional specializing in Counselor in Shelton, WA. Practice services are available at 307 W COTA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 W Cota St

Shelton, WA 985842265

Telephone 3602058001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Shelton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Shelton, WA (11556 Statewide)

Telehealth Adoption Rate
3.3% 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

CMS Verified: 2020-01-17
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1710523568 (WA)

Practice Associates & Co-Workers

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

39 Associated Practitioners
Jennifer Whetstone , RN

Registered Nurse

NPI 1043074636

Registered Nurse

NPI 1063030310

Licensed Mental Health Counselor

Devin Allen , AAC

Counselor - Mental Health

NPI 1063185783
Morgan Wood

Counselor - Mental Health

NPI 1083579031
Laciel Porter

Behavior Technician

NPI 1093329898
Jason Kerr , RN

Registered Nurse

NPI 1104450790

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2020

Registered at 307 W COTA ST, SHELTON, WA 985842265 (Tel: 3602058001)

📍
Updated Business Mailing Address January 17, 2020

Registered at 33032 26TH PL SW, FEDERAL WAY, WA 980232822

👤
Provider Name / Credentials Updated January 17, 2020

Recorded as DAMANI THOMAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2020

Counselor

🟢
Initial NPI Registration & Enumeration January 17, 2020

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: 1073143004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2020
Last Update: January 17, 2020
Sole Proprietor: No

Mailing Address

33032 26th Pl Sw

Federal Way, WA 980232822

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.