Active NPI
Maria Giovanna Thompson I, LNHA, CTRS, AMFT
- Marriage & Family Therapist
- Hayward, CA
National Provider Identifier
1265025209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 136440
- Practice address
- 494 Blossom Way
Hayward, CA 94541-1948 - Phone
- (510) 282-3684
- Fax
- (510) 929-2099
- NPI assigned
- Feb 19, 2021
- Last updated
- Jan 8, 2024
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Marriage & Family Therapist | 106H00000X | 136440 | CA | Primary |
Addresses
Primary practice location
494 Blossom Way
Hayward, CA 94541-1948
Mailing address
494 Blossom Way
Hayward, CA 94541-1948
Phone (510) 282-3684
Other practice location 1
3125 N Broadway
Los Angeles, CA 90031-2703
Phone (213) 482-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136440 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Community Recovery Project | Past | Accepting new patients | |
| Lifelong Medical Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Oakland, CA
- NPI 1346441763
-
- Substance Abuse Rehabilitation Facility
- Oakland, CA
- NPI 1346726239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1265025209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 BLOSSOM WAY",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945411948",
"telephone_number": "510-282-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 BLOSSOM WAY",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945411948",
"telephone_number": "510-282-3684",
"fax_number": "510-929-2099"
}
],
"practiceLocations": [
{
"address_1": "3125 N Broadway",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900312703",
"country_code": "US",
"telephone_number": "213-482-6400",
"fax_number": "213-482-6408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "MARIA",
"middle_name": "GIOVANNA",
"name_suffix": "I",
"credential": "LNHA, CTRS, AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "136440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.