Individual provider Active NPI

Kelsey Marie Thompson, BA

  • Addiction (Substance Use Disorder) Counselor
  • Chicopee, MA
National Provider Identifier
1053984948
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
628 Center St
Chicopee, MA 01013-1589
Phone
(413) 746-0051
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

628 Center St
Chicopee, MA 01013-1589

Mailing address

628 Center St
Chicopee, MA 01013-1589
Phone (413) 746-0051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325002388 MA Practitioner - Mental Health Counselor 2264955830 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc. Addiction (Substance Use Disorder) Current Accepting new patients
Center for Human Development, Inc CurrentSince Jan 17, 2025 Accepting new patients
Community Health Care, Inc. Addiction (Substance Use Disorder) CurrentSince Jul 25, 2021 Accepting new patients
Community Physicians PC PastSince Jul 25, 2021 Accepting new patients

Locations

628 Center St
Chicopee, MA 01013
Phone (413) 746-0051

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

622 State St
Springfield, MA 01109
Phone (413) 439-1200

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1053984948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 CENTER ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010131589",
            "telephone_number": "413-746-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CENTER ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010131589",
            "telephone_number": "413-746-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.