Individual provider Active NPI

Caitlin Marsha Thompson, CRC, NCC, LPC

  • Mental Health Counselor
  • Lansing, MI
National Provider Identifier
1255980793
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401017636 Issued in MI
Practice address
424 Leslie St
Lansing, MI 48912-2623
Phone
(734) 664-0772
NPI assigned
Sep 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 6401017636 MI Primary

Addresses

Primary practice location

424 Leslie St
Lansing, MI 48912-2623

Mailing address

424 Leslie St
Lansing, MI 48912-2623
Phone (734) 664-0772

Other practice location 1

601 Abbot Rd Ste 103
East Lansing, MI 48823-3366
Phone (517) 295-3488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240306002785 MI Practitioner - Mental Health Counselor 1759727332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 W Lake Lansing Rd
Suite 400
East Lansing, MI 48823-1578
Phone (517) 295-3488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401017636MIMDMental Health Counselor

Organizations & group practices 1

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": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1255980793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 LESLIE ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122623",
            "telephone_number": "734-664-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 LESLIE ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122623",
            "telephone_number": "734-664-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Abbot Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488233366",
            "country_code": "US",
            "telephone_number": "517-295-3488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAITLIN",
        "middle_name": "MARSHA",
        "credential": "CRC, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.