Stacey Thompson

Key facts

NPI

1396324232

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

License

1-25-83795 (CO)

Practice address

3351 Eastbrook Dr
Fort Collins, CO 80525-5745

Phone

(720) 677-1100

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 18, 2025.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1396324232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 EASTBROOK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 EASTBROOK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255745",
            "telephone_number": "720-677-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-25-83795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

• Jeffrey S Thompson, CRNA
• Kate Thompson, APN
• Laurianne Ashly Thompson, FNP-BC
• Leah Nicole Thompson, LPC
• Sarah Elizabeth Thompson, L.AC.
• Stephen J Thompson, CRNA
• Stephen Ruhl Thompson, LCSW
• Nadine Louise Thomsen, PSY.D.
• John Thornburg
• Cara Thorne, MD

All providers in Fort Collins, CO · Behavior Analyst in Colorado