Individual provider Active NPI

Nancy Thompson, LPC

  • Mental Health Counselor
  • Vinita, OK
National Provider Identifier
1255450615
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1801 Issued in OK
Practice address
24919 S 4420 Rd
Vinita, OK 74301-5529
Phone
(918) 256-9210
Fax
(918) 256-6777
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1801 OK Primary

Addresses

Primary practice location

24919 S 4420 Rd
Vinita, OK 74301-5529

Mailing address

14 E Mountain Dr
Eureka Springs, AR 72632-9726
Phone (808) 343-8720

Other practice location 1

PSC 473 Box 95
Fpo, AP 96349
Phone 81468163515 ext. 3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240309000567 OK Practitioner - Mental Health Counselor 5193161446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

1101 E Monroe Ave
Carl Albert Mental Health
McAlester, OK 74501-4826
Phone (918) 426-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1801OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Jan 2, 2024 Accepting new patients
State of Oklahoma Current Accepting new patients
State of Oklahoma CurrentSince Jan 2, 2024 Accepting new patients

Locations

1101 E Monroe Ave
McAlester, OK 74501
Phone (918) 426-7878

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255450615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E MOUNTAIN DR",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329726",
            "telephone_number": "808-343-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24919 S 4420 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743015529",
            "telephone_number": "918-256-9210",
            "fax_number": "918-256-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PSC 473 BOX 95",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96349",
            "country_code": "US",
            "telephone_number": "81468163515 x3515",
            "fax_number": "81468167278",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

Verify at the official NPI Registry.