| Scott William Thomas, | |
|
1814 S Main St, Broken Arrow, OK 74012-6503 | |
| (918) 991-5771 | |
| Not Available |
| Full Name | Scott William Thomas |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 32 Years |
| Location | 1814 S Main St, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144661729 | NPI | - | NPPES |
| 722 | Other | OK | OKLAHOMA STATE DEPARTMENT OF HEALTH/LMFT LICENSE |
| 1492 | Other | OK | OKLAHOMA STATE DEPARTMENT OF HEALTH/LPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (NU) | Secondary |
| 101YP2500X | Counselor - Professional | 1492 (Oklahoma) | Primary |
| 106H00000X | Marriage & Family Therapist | 722 (Oklahoma) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Resolve Behavioral Health Services | 0840702387 | 10 |
| Entity Name | Resolve Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497232888 PECOS PAC ID: 0840702387 Enrollment ID: O20250620003425 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott William Thomas, 6369 S 86th East Ave, Tulsa, OK 74133-1356 Ph: (918) 991-5771 | Scott William Thomas, 1814 S Main St, Broken Arrow, OK 74012-6503 Ph: (918) 991-5771 |
Ashtyn Carley Freeny, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 Phone: 918-940-7158 Fax: 918-512-2002 |
Miss Ashley R Wale, MHR ,LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3112 S Nyssa Ave, Broken Arrow, OK 74012 Phone: 918-813-6684 |
Ms. Edwyna Warrior Walker, BSED MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 N 7th St, Apt. 1214, Broken Arrow, OK 74012 Phone: 918-869-8200 |
Katherine Silvey Bates, MCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 W Atlanta St, Broken Arrow, OK 74012 Phone: 918-615-6620 |
Robin Lynn Mayo, BA, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 E Natchez St, Broken Arrow, OK 74011 Phone: 918-260-7605 |
Jacie Michelle Cook, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Elm Pl Ste G, Broken Arrow, OK 74012 Phone: 918-383-2426 |
Fady Srour, M.A, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19426 E 49th St S, Broken Arrow, OK 74014 Phone: 918-355-4253 |