Marvelyn Elfreda Thompson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704244951 Issued in MI

Practice address

8941 N Main St
Berrien Springs, MI 49103-1463

Phone

(268) 915-5425

NPI assigned

Jun 29, 2021

Last updated

Oct 14, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  MI

  Medicare reassignment Care Compare group NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  IN

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IN, MI, Psychiatric/Mental Health

  Medicare reassignment NPD
• Ibekie Foundation Inc

  • Family Medicine Physician
  • Morocco, IN
  • NPI 1255870655

  MI

  Medicare reassignment NPD
• Michiana Neuroscience, LLC

  • Clinical Neuropsychologist
  • Mishawaka, IN
  • NPI 1750862959
  Medicare reassignment NPD
• Ment-Hope LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mishawaka, IN
  • NPI 1568242246
  NPD Authorized official
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1255901443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8941 N MAIN ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031463",
            "telephone_number": "646-399-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8941 N MAIN ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031463",
            "telephone_number": "268-915-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARVELYN",
        "middle_name": "ELFREDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "7101400A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "7101400A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704244951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Louise Swackhamer
• Holly S Tapley, MD
• Sharon Tasi
• Raymond L Tauran
• The Wellviewspring Group PLLC (Judith Fisher, Psy.D.)
• Yulian A. Tinoco, MA, LLC
• Betty W. Ulmanis, LMT, CMMMT, NCTMB
• University Family Dentistry
• University Medical Specialties, PC
• Valerie Annette Van Allen

• Family Nurse Practitioner in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.

Verify at the official NPI Registry.