Active NPI
Tammy Thompson, LCDC
- Addiction (Substance Use Disorder) Counselor
- Desoto, TX
National Provider Identifier
1053289959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17565
- Practice address
- 1534 N Hampton Rd Ste C
Desoto, TX 75115-2505 - Phone
- (469) 225-9850
- Fax
- (972) 379-9933
- NPI assigned
- Oct 23, 2025
- Last updated
- Oct 23, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17565 | TX | Primary |
Addresses
Primary practice location
1534 N Hampton Rd Ste C
Desoto, TX 75115-2505
Mailing address
7402 Lake Ridge Pkwy Apt 1422
Grand Prairie, TX 75054-0346
Phone (817) 390-0285
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 |
|---|---|---|---|
| 17565 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1053289959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7402 LAKE RIDGE PKWY APT 1422",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750540346",
"telephone_number": "817-390-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 N HAMPTON RD STE C",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152505",
"telephone_number": "469-225-9850",
"fax_number": "972-379-9933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TAMMY",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-23",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "17565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.