Individual provider Active NPI

Crissy Ann Thompson, PLPC

  • Mental Health Counselor
  • Greenwood, AR
National Provider Identifier
1326258393
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2007008535 Issued in MO
Practice address
420 N Main St
Greenwood, AR 72936
Phone
(479) 651-1219
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2018

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 2007008535 MO Primary

Addresses

Primary practice location

420 N Main St
Greenwood, AR 72936

Mailing address

420 N Main St
Greenwood, AR 72936-7007
Phone (479) 651-1219

Other practice location 1

308 W Church St
Aurora, MO 65605-1518
Phone (417) 678-5532

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

LicenseStateTypeSpecialty
2007008535MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian D. Petrovich, PSYD, LPC, LLC PastSince Jul 1, 2004 Accepting new patients

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1326258393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729367007",
            "telephone_number": "479-651-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "72936",
            "telephone_number": "479-651-1219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 W Church St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "MO",
            "postal_code": "656051518",
            "country_code": "US",
            "telephone_number": "417-678-5532",
            "fax_number": "417-678-6242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CRISSY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2007008535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.