Phyillis Thompson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

17753 Issued in LA

Practice address

106 Business Park Ave
Denham Springs, LA 70726

Phone

(888) 417-5250

Fax

(225) 341-8756

NPI assigned

Jun 15, 2022

Last updated

May 5, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clarity Counseling Group LLC

  • Social Worker
  • Ackerman, MS
  • NPI 1043156763
  NPD Authorized official
• Bright Clinic

  dba Brightside Clinic

  • Mental Health Counselor
  • Denham Springs, LA
  • NPI 1275104473
  NPD
• Laroque LLC

  dba Brightside Social Services Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1114315694
  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1164152807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BUSINESS PARK AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "70726",
            "telephone_number": "888-417-5250",
            "fax_number": "225-341-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BUSINESS PARK AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "70726",
            "telephone_number": "888-417-5250",
            "fax_number": "225-341-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PHYILLIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "17753",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Thierry, MS
• Enricka Thomas, LCSW-BACS
• Jasmine Faye Thomas
• Amy P Thompson, P.T.
• Latonyette M Thompson
• Kendall Tilllis
• Tonia Carmille Tillman, CSW, MSW
• Anthony Tipton
• TJD Medical Transportation LLC
• Kelly Maureen Tourere

• Social Worker in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Social Worker in Louisiana

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