DAMANI JEVON THOMAS NPI 1073143004

NPI Information

  • NPI: 1073143004
  • Provider Name: DAMANI JEVON THOMAS
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 307 W COTA ST
    SHELTON, WA
    ZIP 98584
  • Phone: (360) 205-8001

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NPI Details

Damani Jevon Thomas is a counselor in Shelton, WA. The provider is 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. Damani Jevon Thomas NPI is 1073143004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

307 W COTA ST
SHELTON, WA
ZIP 98584-265
Phone: (360) 205-8001

The enumeration date for this NPI number is 1/17/2020 and was last updated on 1/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11710523568MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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