Shanna Rose Thomsen

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3972-57 Issued in WI

Practice address

N14W23777 Stone Ridge Dr Ste 135
Waukesha, WI 53188-1164

Phone

(414) 279-9082

Fax

(414) 501-4399

NPI assigned

Aug 28, 2018

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

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Intentional Psychology LLC

  • Clinical Psychologist
  • Waukesha, WI
  • NPI 1699469411
  Medicare reassignment NPD Authorized official
• Professional Services Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenosha, WI
  • NPI 1619024262
  Medicare reassignment NPD

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1417438250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N14W23777 STONE RIDGE DR STE 135",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881164",
            "telephone_number": "414-279-9082",
            "fax_number": "414-501-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N14W23777 STONE RIDGE DR STE 135",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881164",
            "telephone_number": "414-279-9082",
            "fax_number": "414-501-4399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 E State Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468053458",
            "country_code": "US",
            "telephone_number": "260-482-9125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6233 39th Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531427015",
            "country_code": "US",
            "telephone_number": "262-654-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "SHANNA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3972-57",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Marlene Thompson, RDH
• Heather Michelle Thompson, R.N.
• Leslie Ann Thompson, MD
• Madelynn Thompson
• Elizabeth Ann Thompto, LCSW
• Leah Thomson
• Eric Thorn
• Lukas Everette Thornton, MSW
• Thrive Counseling and Consulting LLC
• Helen Colleen Thuemling, R.N

• Clinical Psychologist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.

Verify at the official NPI Registry.