Thompson Siverson, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC157 Issued in ID

Practice address

10792 W Overland Rd
Boise, ID 83709-1329

Phone

(208) 375-7777

Fax

(208) 323-9070

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Mental Health Counselor

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northend Wellness LLCGroup PAC ID 2163720848, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Northend Wellness, LLC

  • Psychologist
  • Boise, ID
  • NPI 1306230958
  Medicare reassignment Care Compare group NPD
• Maitri House Yoga, LLC

  • Clinical Psychologist
  • Boise, ID
  • NPI 1689116246
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295887487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10792 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091329",
            "telephone_number": "208-375-7777",
            "fax_number": "208-323-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10792 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091329",
            "telephone_number": "208-375-7777",
            "fax_number": "208-323-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVERSON",
        "first_name": "THOMPSON",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "Q4392",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010017011",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Louise Sinigiani, RN
• Rachael Dawn Sinnes, LMSW
• Sinus Center - Idaho, PA
• Caleb Sires, PA-C
• Kathryn Sisterman, DNP
• Taylor Sjobakken, PHARMD
• Christopher Jay Sjoberg, NP
• Rachel Sjoberg
• Benjamin Mark Skaggs, LCSW
• Kevin Skaggs, REGISTERED NURSE RN

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.