Jerusha Dove Thompson, PPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PPC-1152 Issued in WY

Practice address

1471 Dewar Dr Ste 232
Rock Springs, WY 82901-5885

Phone

(307) 352-9161

NPI assigned

Feb 11, 2021

Last updated

Apr 13, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wevolve Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rock Springs, WY
  • NPI 1669095204

  Professional

  NPD (past)

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1104419076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 DEWAR DR STE 232",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015885",
            "telephone_number": "307-352-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 DEWAR DR STE 232",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015885",
            "telephone_number": "307-352-9161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1471 Dewar Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829015826",
            "country_code": "US",
            "telephone_number": "307-352-9161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JERUSHA",
        "middle_name": "DOVE",
        "credential": "PPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "PPC-1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Donaldson MD, PC. (Donaldson Medical Clinic)
• The Eye Institute of Utah
• Thomas E Spicer, MD-PC (Thomas E Spicer MD)
• Thomas E. Spicer, MD, PC
• Shaun Connor Thomas, M.S
• Fergus Thornton, M.D.
• Thoughtful Insights Counseling LLC
• Lyndee Tipton
• Marianna A Tolhurst, FNP
• Lindsay Tolle, DPT

• Professional Counselor in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.