Brooke R Thompson, MS/LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1100092 Issued in OH

Practice address

4756 Fishburg Rd Ste F
Dayton, OH 45424-5462

Phone

(937) 309-0906

Fax

(937) 365-9010

NPI assigned

Nov 6, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1124372503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24809",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454240809",
            "telephone_number": "937-309-0906",
            "fax_number": "937-365-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4756 FISHBURG RD STE F",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245462",
            "telephone_number": "937-309-0906",
            "fax_number": "937-365-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BROOKE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MS/LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1100092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0318293",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Temeka Thompson
• Angela Marie Thompson, FNP-C
• Ann E Thompson, FNP-C, MSN,CPAN CCRN
• Ashley Marie Thompson
• Bailey Thompson
• Carmen Thompson
• Chandra Mae Thompson
• De'Asia Lanee Thompson, LISW-S
• Donna Jean Thompson
• Gwendolyn Thompson

• Mental Health Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.