Kelly A Thompson, LICENSED MENTAL HEAL

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004737-1 Issued in NY

Practice address

5800 Big Tree Rd
Orchard Park, NY 14127

Phone

(716) 662-7337

Fax

(716) 662-0641

NPI assigned

Jul 14, 2017

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Moona Medical Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1609685007

  NY

  Medicare reassignment NPD
• Medical Health Associates of Western New York PLLC

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1013453273
  NPD (past)
• Western New York Pediatric Associates, LLP

  • Pediatrics Physician
  • Orchard Park, NY
  • NPI 1538257977
  NPD (past)

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1114449709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 BIG TREE ROAD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-662-7337",
            "fax_number": "716-662-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BIG TREE RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-662-7337",
            "fax_number": "716-662-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "LICENSED MENTAL HEAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004737-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Link for Children
• Therapeutic Link for Children, PLLC
• Therapy Resources,Speech and Language Pathology, Physical Therapy & Oc
• Julie A. Thomas, D.O.
• Gregory Phillip Thompson, PT, MS, GCS
• Kelsey L Thompson, PT, DPT
• Owen Richard Thompson
• Nicholas Tiberia, D.P.M.
• Marne Leeza-Marie Timon
• Richard Tippett

• Mental Health Counselor in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.