Randy Jay Thompson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5026157-3501 Issued in UT

Practice address

935 S Orem Blvd
Orem, UT 84058

Phone

(801) 903-5903

NPI assigned

Feb 4, 2019

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

State licenses

Practice roles

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.

• Allred Psychological Services

  • Clinical Psychologist
  • Orem, UT
  • NPI 1720512270
  NPD (past)
• Kelly Wosnik Inc

  • Clinic/Center
  • Orem, UT
  • NPI 1346549060
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1063977130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84058",
            "telephone_number": "801-903-5903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 S Orem Blvd",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "84058",
            "country_code": "US",
            "telephone_number": "801-903-5903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RANDY",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5026157-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Thompson
• Aubrey Leanne Thompson
• Emma Thompson, CSW
• Gabriella Thompson
• Landry Thompson
• Tammara L Thompson
• Trinette Thompson, CPM, LDEM
• Wade Daines Thompson, D.D.S., M.S.
• Joshua Kirk Thorn, LCSW
• Valerie Thorn, FNP-C

• Mental Health Counselor in Orem, UT
• Providers in Orem, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.