Thomia Thompson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH20975 Issued in FL

Practice address

11912 Balm Riverview Rd
Riverview, FL 33569

Phone

(813) 444-7116

Fax

(813) 537-8580

NPI assigned

Feb 8, 2022

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

Opted out of Medicare

Yes, effective May 22, 2024 through May 22, 2028

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 and National Provider Directory roles.

• Renewed Integrative Counseling

  • Mental Health Counselor
  • Riverview, FL
  • NPI 1144988080
  NPD
• Renewed Integrative Wellness LLC

  • Mental Health Counselor
  • Brandon, FL
  • NPI 1699348797
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1255085346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 CARRINGTON SKY DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721732",
            "telephone_number": "813-394-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 BALM RIVERVIEW RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33569",
            "telephone_number": "813-444-7116",
            "fax_number": "813-537-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "THOMIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamaruz Thompkins, LMHC
• Deja Thompson, LCSW
• James Lee Thompson, CRNA
• Jasmine Thompson
• Sara Thompson, PMHNP-BC
• Alia Samari Thornton
• Thrive & Rise Therapy LLC
• Benjamin L Tidwell, LCSW, CCDP-DIPLOMATE
• Florence Tillman-Harris
• Chelsea Noelle Mira Timonera, PA-C

• Mental Health Counselor in Riverview, FL
• Providers in Riverview, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.