Christine Carol Thomson

Individual provider Active NPI Marriage & Family Therapist · Sioux Falls, SD

NPI 1063158335 · NPPES record last updated May 10, 2022

Key facts

NPI
1063158335
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
11515 (SD)
Practice address
2109 S Norton Ave
Sioux Falls, SD 57105-3730
Phone
(605) 334-2696
Fax
(605) 339-9944
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North American Baptist Seminary (21 clinicians)

Practice addresses (Care Compare)

2109 S Norton Ave
Sioux Falls, SD 57105-3730
Phone (605) 334-2696

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240301002732 SD Practitioner - Marriage and Family Therapist 6507201324 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
11515SDMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Baptist Seminary Current
since Jan 21, 2024
Accepting new patients
North American Baptist Seminary Current
since Jan 21, 2024
Accepting new patients

Locations

2109 S Norton Ave
Sioux Falls, SD 57105
Phone (605) 334-2696

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 11515 SD Yes

Addresses

Primary practice location

2109 S Norton Ave
Sioux Falls, SD 57105-3730

Mailing address

2109 S Norton Ave
Sioux Falls, SD 57105-3730
Phone (605) 334-2696

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Marriage & Family Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.