Jay Burr Tompkins, M.A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401223138 Issued in MI

Practice address

4017 W Main St Ste 100
Kalamazoo, MI 49006-3731

Phone

(269) 205-6339

NPI assigned

Dec 5, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Kerby Psychological Services PLLC

  • Psychologist
  • Kalamazoo, MI
  • NPI 1285017244

  Single Specialty

  NPD

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1023614138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 W MAIN ST STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063731",
            "telephone_number": "269-849-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 W MAIN ST STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063731",
            "telephone_number": "269-205-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "JAY",
        "middle_name": "BURR",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-05",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR",
            "identifier": "6401223138",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Tolley
• Kimberly Tolliver
• Whitney Tolmacs
• Andrew J. Tomacari, LMSC
• Brooke Tomlinson
• Richard A Tonda, M.D.
• Sidney Tonkin, LLMSW
• Adam J Toomey, PA-C
• Katie Jane Toro
• Jacqueline Torres, LLMSW

• Professional Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.