Jeremy Thompson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

419456309 Issued in NY

Practice address

54 S 3Rd Ave
Mount Vernon, NY 10550-3303

Phone

(914) 664-4042

NPI assigned

Nov 22, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mount Vernon Open Door

  • Addiction (Substance Use Disorder) Counselor
  • Mount Vernon, NY
  • NPI 1689009250
  NPD (past)
• The Guidance Center of Westchester, Inc

  • Community/Behavioral Health Agency
  • Mount Vernon, NY
  • NPI 1861506974
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1003246307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FAIRWAY GRN",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105434325",
            "telephone_number": "914-523-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 S 3RD AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503303",
            "telephone_number": "914-664-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "419456309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Thomas, LPN
• Shauntay Thomas, NP
• Silburn Wilson Thomas, M.D.
• Timy Thomas
• Yolanda Roxanne Thomas
• Kacey-Ann Thompson, D.D.S
• Karen Marie Thompson
• Latoya Trudy Ann Thompson
• Malvia Thompson
• Natasha Thompson

• Addiction (Substance Use Disorder) Counselor in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.