Andrew Wayne Thompson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4613 Issued in CT

Practice address

268 Forest Street Ext
Hamden, CT 06518-2715

Phone

(203) 721-5527

NPI assigned

Nov 8, 2023

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• State of Connecticut

  • Psychiatric Hospital
  • New Haven, CT
  • NPI 1881629434
  Medicare reassignment
• Ebony Horsewomen, Inc

  • Community/Behavioral Health Agency
  • Hartford, CT
  • NPI 1518397306
  NPD (past)

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1013781202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 FOREST STREET EXT",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182715",
            "telephone_number": "203-721-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 FOREST STREET EXT",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182715",
            "telephone_number": "203-721-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANDREW",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeia Lymphedema Center, LLC
• Shahana Lee Theriault, PA-C
• Theric Corporation
• Stefanie Theroux, LCSW
• Prem George Thomas, MD
• Jennifer Su Thompson, MD
• Judy Jane Thompson, CRNA
• Kelly M. Thompson, MS CCC SLP
• Laura Thompson, M.S. CCC-SLP
• Thorough Immersion Behavioral Health LLC

• Professional Counselor in Hamden, CT
• Providers in Hamden, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.