Ryan Thompson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

7666 Issued in SC

Practice address

218 Brighton Park Blvd Ste 102
Summerville, SC 29486-3000

Phone

(843) 425-2116

NPI assigned

Jun 3, 2021

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

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1043886625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BRIGHTON PARK BLVD STE 102",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294863000",
            "telephone_number": "843-425-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BRIGHTON PARK BLVD STE 102",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294863000",
            "telephone_number": "843-425-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89B Old Trolley Rd",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294854933",
            "country_code": "US",
            "telephone_number": "843-425-2116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "7666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Renee Thomas
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• Henry C Thompson II, ED.S.
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• Terri L Tierney, PT.CWS

• Marriage & Family Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.