Dwonna Denise Thompson, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007608 Issued in IL

Practice address

13011 S 104TH Ave
Palos Park, IL 60464-1506

Phone

(708) 448-3300

Fax

(708) 448-6972

NPI assigned

Nov 4, 2010

Last updated

Nov 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Livewell Group

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1528571841
  NPD Authorized official

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1437450541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19818 PARK AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111394",
            "telephone_number": "708-889-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641506",
            "telephone_number": "708-448-3300",
            "fax_number": "708-448-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DWONNA",
        "middle_name": "DENISE",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Stull
• Jaclyn Ann Sullivan
• Sunrise Second Assisted Living Holdings, LLC
• Sym Palos Park SNF Healthcare LLC
• The Balanced Dietitian LLC
• Wayne A Tillman, DPM
• Elton Toledo, PTA
• Danielle Ann Tsupros
• Sarah A Usmani, M.D.
• Aley Valiaparumbil

• Professional Counselor in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.