Active NPI
Julia Ann Thompson
- Addiction (Substance Use Disorder) Counselor
- Modesto, CA
National Provider Identifier
1043524044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- I9530610
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| I9530610 | CA | MD | Addiction (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.