Individual provider Active NPI

Ryan P Thompson, CMHC

  • Mental Health Counselor
  • Saint George, UT
National Provider Identifier
1508126285
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
77863566004 Issued in UT
Practice address
321 N Mall Dr Ste F202
Saint George, UT 84790-7351
Phone
(435) 216-8688
Fax
(435) 214-2482
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 77863566009 UT
Mental Health Counselor 101YM0800X 77863566004 UT Primary

Addresses

Primary practice location

321 N Mall Dr Ste F202
Saint George, UT 84790-7351

Mailing address

321 N Mall Dr Ste F202
Saint George, UT 84790-7351
Phone (435) 216-8688

Other identifiers 1

IdentifierTypeStateIssuer
1015113MedicaidUT

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
77863566004UTMDMental Health Counselor
77863566009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Thompson CurrentSince Dec 1, 2019 Accepting new patients

Locations

321 N Mall Dr
Ste F202
Saint George, UT 84790
Phone (435) 216-8688

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1508126285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N MALL DR STE F202",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907351",
            "telephone_number": "435-216-8688",
            "fax_number": "435-214-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MALL DR STE F202",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907351",
            "telephone_number": "435-216-8688",
            "fax_number": "435-214-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RYAN",
        "middle_name": "P",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "77863566009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "77863566004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015113",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.