Active NPI
Keith A. Thompson, LCPC
- Professional Counselor
- Clinton, MD
National Provider Identifier
1285887547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3682
- Practice address
- 7801 Old Branch Ave
212
Clinton, MD 20735-1608 - Phone
- (301) 856-8516
- NPI assigned
- Oct 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3682 | MD | Primary |
Addresses
Primary practice location
7801 Old Branch Ave
212
Clinton, MD 20735-1608
Mailing address
1610 Golf Course Dr
Mitchellville, MD 20721-3158
Phone (240) 464-6166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 7, 2024 through Feb 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3682 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1285887547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 GOLF COURSE DR",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207213158",
"telephone_number": "240-464-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7801 OLD BRANCH AVE",
"address_2": "212",
"city": "CLINTON",
"state": "MD",
"postal_code": "207351608",
"telephone_number": "301-856-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KEITH",
"middle_name": "A.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-30",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.