Antashia Thompson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1216 Patrick St
Kissimmee, FL 34741-5534

Phone

(321) 236-1540

NPI assigned

Apr 17, 2024

Sex

Female

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

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 and National Provider Directory roles.

• Serving Children and Reaching Families

  • Community/Behavioral Health Agency
  • Kissimmee, FL
  • NPI 1336588813
  NPD

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1083468748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17240 CAGAN CROSSINGS BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347144720",
            "telephone_number": "352-740-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 PATRICK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415534",
            "telephone_number": "321-236-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANTASHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucille Thomas
• Sherwin Zachariah Thomas, MD
• Trinity Thomas
• Victor John Thomas
• Roland Thompkins
• Anthony Cole Thompson, OTR/L
• Coleen Rosemarie Thompson, NP
• Colleen Thompson
• Dean Norton Thompson, MD, MSPH
• Joy E Thompson, RN

• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.