Anthony Marcilous Thompson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-20147 Issued in AZ

Practice address

29473 N Candlewood Dr
San Tan Valley, AZ 85143-3801

Phone

(623) 455-2280

NPI assigned

Sep 17, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moyo Behavioral Health PLLC

  • Professional Counselor
  • San Tan Valley, AZ
  • NPI 1770451791
  NPD Authorized official

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1326718511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29473 N CANDLEWOOD DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851433801",
            "telephone_number": "623-455-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29473 N CANDLEWOOD DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851433801",
            "telephone_number": "623-455-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANTHONY",
        "middle_name": "MARCILOUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-20147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Ark Haven
• The Bark Homes LLC
• Therapeeps, LLC
• Cynthia Louise Thomas, PA-C
• Ryan C. Thomas, D.D.S.
• Thrive Alf Freedom
• Thrive Alf Wild
• Collin Scott Tibbitts, RN
• Together Forward Advocacy LLC.
• Top Healthcare LLC

• Counselor in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.