Krystyna Pauline Thompson, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000369 Issued in IA

Practice address

702 SW 4TH St Ste 101
Ankeny, IA 50023-2964

Phone

(515) 232-3206

NPI assigned

Oct 30, 2012

Last updated

Jun 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Feb 7, 2024 through Feb 7, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revive Therapy Services, LLC

  • Marriage & Family Therapist
  • Ankeny, IA
  • NPI 1467349456
  NPD Authorized official
• Full Heart Family Therapy and Renewal Center LLC

  dba Full Heart Family Therapy

  • Marriage & Family Therapist
  • Ankeny, IA
  • NPI 1679048466
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1073867065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 4TH ST STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW 4TH ST STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232964",
            "telephone_number": "515-232-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRYSTYNA",
        "middle_name": "PAULINE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Renee Thole, DPT
• Jade Irene Thomas, DPT
• Jill Thomas, LISW
• Kaitlyn Thomas, PHARMD
• Mackenzie Kaye Thomas
• Tibisa Thor
• Thoroughways LLC
• Richard James Thorpe, PSY.D.
• Throckmorton Dental, LLC (North Ankeny Family Dentistry)
• Brandon Alan Throckmorton, DDS

• Marriage & Family Therapist in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.