Individual provider Active NPI

James Johnston Thomson, BS, CATC, CERT ED

  • Addiction (Substance Use Disorder) Counselor
  • Redwood City, CA
National Provider Identifier
1083901730
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
102484 Issued in CA
Practice address
609 Price Ave
Suite 201
Redwood City, CA 94063-1463
Phone
(650) 366-8433
Fax
(650) 366-8455
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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 102484 CA Primary

Addresses

Primary practice location

609 Price Ave
Suite 201
Redwood City, CA 94063-1463

Mailing address

609 Price Avenue
Suite 201
Redwood City, CA 94002
Phone (650) 366-8433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
102484CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1083901730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 PRICE AVENUE",
            "address_2": "SUITE 201",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94002",
            "telephone_number": "650-366-8433",
            "fax_number": "650-366-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 PRICE AVE",
            "address_2": "SUITE 201",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631463",
            "telephone_number": "650-366-8433",
            "fax_number": "650-366-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "JAMES",
        "middle_name": "JOHNSTON",
        "name_prefix": "Mr.",
        "credential": "BS, CATC, CERT ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "102484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.