MR. TRENT THOMAS NPI 1811358864

NPI Information

NPI: 1811358864
Provider Name: MR. TRENT THOMAS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
1607 MARTIN LUTHER KING JR DR
GREENSBORO, NC
ZIP 27406
Phone: (336) 965-7186
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MR. Trent Thomas is a peer specialist in Greensboro, NC. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. Trent Thomas NPI is 1811358864. 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:

1607 MARTIN LUTHER KING JR DR
GREENSBORO, NC
ZIP 27406-423
Phone: (336) 965-7186
Fax: (888) 821-5068

The enumeration date for this NPI number is 3/17/2016 and was last updated on 6/11/2019.

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	License Number	License State	Primary
1	172A00000X	Driver			No
2	372500000X	Chore Provider	430176	NORTH CAROLINA	No
3	175T00000X	Peer Specialist	2018-5019-01	NORTH CAROLINA	Yes

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
1	246915141O	MEDICAID	NORTH CAROLINA
2	2018-5019-01	OTHER	NORTH CAROLINA	NCCPSS

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: 4/28/2024

NPI Synchronization or Removal

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