Jenna Elisabeth Thompson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

80283 Issued in TX

Practice address

1300 S Frazier St Ste 104
Conroe, TX 77301-4410

Phone

(936) 730-5557

NPI assigned

Jan 3, 2021

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

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1124616545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 SAWDUST RD APT 2451",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803387",
            "telephone_number": "832-691-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S FRAZIER ST STE 104",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014410",
            "telephone_number": "936-730-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2495 Sawdust Rd Apt 2451",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773803387",
            "country_code": "US",
            "telephone_number": "832-691-8035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JENNA",
        "middle_name": "ELISABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "80283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Nichole Thomas
• Kaylin Rene Thomas, PHARMD
• Misty Dawn Thomas, LVN
• Bryan Patrick Thompson, PA-C
• Dominque Kentrell Thompson
• Kitrie Elizabeth Thompson, AU.D.
• Micah Thompson, OTR/L
• Naomi Thompson
• Stephanie Gayle Thompson, RN
• Harish Sivakumar Thoppe

• Counselor in Conroe, TX
• Providers in Conroe, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.