Caitlin Anne Thompson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010045 Issued in NY

Practice address

515 Madison Ave FL 21
New York, NY 10022-5433

Phone

(503) 737-5612

NPI assigned

Oct 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Thompson Mental Health Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Leonia, NJ
  • NPI 1356922728
  NPD Authorized official

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1356853519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 CHRISTIE ST",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051903",
            "telephone_number": "503-737-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE FL 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225433",
            "telephone_number": "503-737-5612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Christie St",
            "address_purpose": "LOCATION",
            "city": "Leonia",
            "state": "NJ",
            "postal_code": "076051903",
            "country_code": "US",
            "telephone_number": "503-737-5612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAITLIN",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rae Thompson, L. AC.
• Angela Alice Thompson
• Ann Thompson, RN
• Barbara Thompson, LCSWR
• Beverly G. Thompson, MA
• Carol Marjorie Thompson, RN
• Charlotte Thompson
• Charlotte May Thompson, RN
• Chase Thompson, DDS
• Ciara Thompson, LP-MHC

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.