Active NPI
Jeffrey D Thompson, PHD
- Mental Health Counselor
- Selah, WA
National Provider Identifier
1376873489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00004752
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH00004752 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey David Thompson PHD PLLC | Current | Accepting new patients | |
| Soul Connections, PLLC | Current | Accepting new patients | |
| Center for Counseling & Psychotherapy LLC | Current | 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.
-
- Counseling Psychologist
- Yakima, WA
- NPI 1861663684
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Selah, WA
- NPI 1275356347
-
dba Soul Connections Therapy
- Clinical Social Worker
- Yakima, WA
- NPI 1366257552
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
- The Markets LLC (Selah SaveOn Foods #845 Pharmacy)
- Therapeutic Associates Inc (TAI - Selah)
- Thome Enterprise L L C (Howard's Drug)
- Thome Enterprises L L C (Howard's Medical Supply)
- Joel A Thome, PHARMD
- Thuthi Enterprises, LLC (Best Practices Urgent Care)
- Thuthi Enterprises, LLC (Best Practices Healthcare Center)
- Sydney J Thysell
- Tony Garent Chiropractic Clinic P.L.L.C.
- Sharon Tormala, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.