Individual provider Active NPI

Jeffrey D Thompson, PHD

  • Mental Health Counselor
  • Selah, WA
National Provider Identifier
1376873489
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00004752 Issued in WA
Practice address
1552 W Goodlander Rd
Selah, WA 98942-8760
Phone
(509) 525-6650
Fax
(509) 737-1494
NPI assigned
Jan 12, 2010
Last updated
Nov 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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 LH00004752 WA Primary

Addresses

Primary practice location

1552 W Goodlander Rd
Selah, WA 98942-8760

Mailing address

1552 W Goodlander Rd
Selah, WA 98942-8760
Phone (509) 961-5928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20240829004080 WA Practitioner - Mental Health Counselor 9537599238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1552 W Goodlander Rd
Selah, WA 98942-8760
Phone (509) 308-0276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH00004752WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey David Thompson PHD PLLC CurrentSince Dec 27, 2025 Accepting new patients
Soul Connections, PLLC CurrentSince Mar 11, 2025 Accepting new patients
Center for Counseling & Psychotherapy LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1015 S 40th Ave
Ste 2123
Yakima, WA 98908
Phone (253) 961-3629

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1376873489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 W GOODLANDER RD",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989428760",
            "telephone_number": "509-961-5928",
            "fax_number": "509-737-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 W GOODLANDER RD",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989428760",
            "telephone_number": "509-525-6650",
            "fax_number": "509-737-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-12",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

Verify at the official NPI Registry.