Individual provider Active NPI

Julia Ann Thompson

  • Addiction (Substance Use Disorder) Counselor
  • Modesto, CA
National Provider Identifier
1043524044
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
I9530610 Issued in CA
Practice address
2701 Santiago Dr
Modesto, CA 95354-3235
Phone
(209) 534-4450
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Addiction (Substance Use Disorder) Counselor 101YA0400X I9530610 CA Primary

Addresses

Primary practice location

2701 Santiago Dr
Modesto, CA 95354-3235

Mailing address

2701 Santiago Dr
Modesto, CA 95354-3235
Phone (209) 534-4450

Other practice location 1

2809 Sapphire Dr
Modesto, CA 95355-4117
Phone (209) 450-4492

Other practice location 2

2701 Santiago Dr
Modesto, CA 95354-3235
Phone (209) 524-4450

Other practice location 3

2809 Sapphire Dr
Modesto, CA 95355-4117
Phone (209) 450-4492

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://parentsunitedofstanislauscounty.webs.com Health Information Exchange (HIE)
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I9530610CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1043524044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SANTIAGO DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953543235",
            "telephone_number": "209-534-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SANTIAGO DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953543235",
            "telephone_number": "209-534-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2809 Sapphire Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953554117",
            "country_code": "US",
            "telephone_number": "209-450-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Santiago Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953543235",
            "country_code": "US",
            "telephone_number": "209-524-4450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2809 Sapphire Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953554117",
            "country_code": "US",
            "telephone_number": "209-450-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "I9530610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://parentsunitedofstanislauscounty.webs.com",
            "affiliation": "N",
            "endpointDescription": "Behavioral Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MSW Student Intern",
            "address_1": "2701 Santiago Dr",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953543235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1777 W. Yosemite Ave",
            "city": "Manteca",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.