Individual provider Active NPI

Joanne Thompson, LPCC, LICDC, EAPI

  • Mental Health Counselor
  • Galena, OH
National Provider Identifier
1477619393
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1700361 Issued in OH
Practice address
2932 S 3 BS and K Rd
Galena, OH 43021
Phone
(614) 327-0668
Fax
(740) 548-0709
NPI assigned
Dec 28, 2006
Last updated
Jul 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 011127 OH
Mental Health Counselor 101YM0800X E.1700361 OH Primary
Specialist 174400000X OH1-45-8322 OH

Addresses

Primary practice location

2932 S 3 BS and K Rd
Galena, OH 43021

Mailing address

2932 South 3BS and K Road
Galena, OH 43021
Phone (614) 327-0668

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

LicenseStateTypeSpecialty
011127OHMDAddiction (Substance Use Disorder) Counselor
E.1700361OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Stables, LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1477619393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 SOUTH 3BS AND K ROAD",
            "city": "GALENA",
            "state": "OH",
            "postal_code": "43021",
            "telephone_number": "614-327-0668",
            "fax_number": "740-548-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 S 3 BS AND K RD",
            "city": "GALENA",
            "state": "OH",
            "postal_code": "43021",
            "telephone_number": "614-327-0668",
            "fax_number": "740-548-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "LPCC, LICDC, EAPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "011127",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700361",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "OH1-45-8322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.