Active NPI
Ella Morgan Thompson, LPC
- Professional Counselor
- Burkburnett, TX
National Provider Identifier
1245887736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008536
- Practice address
- 1426 Danberry St
Burkburnett, TX 76354-3116 - Phone
- (940) 263-1359
- Fax
- (940) 283-9406
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 89090 | TX | |
| Professional Counselor | 101YP2500X | 0701008536 | VA | Primary |
Addresses
Primary practice location
1426 Danberry St
Burkburnett, TX 76354-3116
Mailing address
PO Box 6268
Sheppard AFB, TX 76311-0268
Phone (940) 263-1359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659424448 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Burkburnett, TX 76354
Phone (940) 263-1359
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundant Life Partners, LLC | Current | Accepting new patients | |
| Riverside Counseling, LLC | Professional | Current | Accepting new patients |
| Abundant Path LLC | Professional | Past | Accepting new patients |
| Hampton Newport News Community Services Board | Past | Accepting new patients |
Locations
1315 Jamestown Rd
Ste 203
Williamsburg, VA 23185
Organizations & group practices 4
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.
-
- Professional Counselor
- Burkburnett, TX
- NPI 1194546242
-
- Clinical Social Worker
- Williamsburg, VA
- NPI 1942740279
-
dba Abundant Path Evaluations
- Psychologist
- Williamsburg, VA
- NPI 1962374439
Professional
-
- Community/Behavioral Health Agency
- Hampton, VA
- NPI 1659424448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1245887736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6268",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "763110268",
"telephone_number": "940-263-1359",
"fax_number": "940-283-9406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 DANBERRY ST",
"city": "BURKBURNETT",
"state": "TX",
"postal_code": "763543116",
"telephone_number": "940-263-1359",
"fax_number": "940-283-9406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ELLA",
"middle_name": "MORGAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "89090",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701008536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659424448",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burkburnett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.