Active NPI
Camille Teresa Thompson, SUDC COUNSELLING INT
- Addiction (Substance Use Disorder) Counselor
- South Salt Lake, UT
National Provider Identifier
1265028641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3269 S Main St Ste 100
South Salt Lake, UT 84115-3773 - Phone
- (801) 935-4447
- NPI assigned
- Dec 18, 2020
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
3269 S Main St Ste 100
South Salt Lake, UT 84115-3773
Mailing address
3868 W Parachute Dr
West Valley City, UT 84120-5782
Phone (385) 343-9407
Other practice location 1
1441 E Fort Union Blvd
Cottonwood Heights, UT 84121-2847
Phone (385) 695-2203
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | advancedbehavioranalysis.com | Other |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1265028641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3868 W PARACHUTE DR",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841205782",
"telephone_number": "385-343-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3269 S MAIN ST STE 100",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841153773",
"telephone_number": "801-935-4447"
}
],
"practiceLocations": [
{
"address_1": "1441 E Fort Union Blvd",
"address_purpose": "LOCATION",
"city": "Cottonwood Heights",
"state": "UT",
"postal_code": "841212847",
"country_code": "US",
"telephone_number": "385-695-2203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "CAMILLE",
"middle_name": "TERESA",
"credential": "SUDC COUNSELLING INT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "advancedbehavioranalysis.com",
"affiliation": "N",
"endpointDescription": "clinic website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "company website",
"address_1": "1441 E Fort Union Blvd",
"city": "Cottonwood Heights",
"state": "UT",
"country_code": "US",
"postal_code": "841212847",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.