Mary Kristene Thompson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-19373 Issued in AZ

Practice address

1836 N Stapley Dr Unit 77
Mesa, AZ 85203-2675

Phone

(480) 586-1429

NPI assigned

May 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1326538711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 N STAPLEY DR UNIT 77",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032675",
            "telephone_number": "480-586-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 N STAPLEY DR UNIT 77",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032675",
            "telephone_number": "480-586-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARY",
        "middle_name": "KRISTENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-15202",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-19373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mary.Thompson@tranquilitycounselingaz.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1836 N Stapley Dr Unit 77",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852032675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katrina Kay Thompson, SLPA
• Kelly S Thompson, D.C.
• Kimberly E Thompson
• Leah Charity Thompson
• Lisa Thompson, LAC
• Melanie Irene Thompson, OTR/L
• Michael Thompson II, ATC
• Michael Roberg Thompson, DDS
• Robert Henry Thompson III, MD
• Rona Yvonne Thompson, APRN

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.