Active NPI
Colleen Marie Thompson, LMFT 86224
- Marriage & Family Therapist
- Redding, CA
National Provider Identifier
1447635313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 86224
- Practice address
- 777 Loma Vista Dr
Redding, CA 96002-3113 - Phone
- (530) 221-5683
- Fax
- (530) 221-0267
- NPI assigned
- Jul 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 86224 | CA | Primary |
Addresses
Primary practice location
777 Loma Vista Dr
Redding, CA 96002-3113
Mailing address
PO Box 325
Lewiston, CA 96052-0325
Phone (707) 834-3437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86224 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1447635313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 325",
"city": "LEWISTON",
"state": "CA",
"postal_code": "960520325",
"telephone_number": "707-834-3437",
"fax_number": "530-221-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 LOMA VISTA DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960023113",
"telephone_number": "530-221-5683",
"fax_number": "530-221-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"credential": "LMFT 86224",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "86224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.