Active NPI
Barbara Jean Thompson, PHD
- Counseling Psychologist
- Ellicott City, MD
National Provider Identifier
1194722363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2166
- Practice address
- 3355 Saint Johns LN
Ellicott City, MD 21042-2605 - Phone
- (443) 629-3761
- NPI assigned
- Jul 3, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2166 | MD | Primary |
Addresses
Primary practice location
3355 Saint Johns LN
Ellicott City, MD 21042-2605
Mailing address
17205 Lightfoot LN
Poolesville, MD 20837-2181
Phone (443) 629-3761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070816000271 | MD | Practitioner - Clinical Psychologist | 3375635683 | Practice locations: Ellicott City, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2166 | MD | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1194722363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17205 LIGHTFOOT LN",
"city": "POOLESVILLE",
"state": "MD",
"postal_code": "208372181",
"telephone_number": "443-629-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 SAINT JOHNS LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422605",
"telephone_number": "443-629-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BARBARA",
"middle_name": "JEAN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-03",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "2166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.