Mendy Lynn Thompson, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mayetta, KS
NPI 1508286113 · NPPES record last updated Apr 22, 2014
Key facts
- NPI
- 1508286113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 570 (KS)
- Practice address
- 11400 158TH Road
Mayetta, KS 66509 - Phone
- (785) 966-8200
- Fax
- (785) 966-8386
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570 | KS | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 570 | KS | Yes |
Addresses
Primary practice location
11400 158TH Road
Mayetta, KS 66509
Mailing address
11400 158TH Road
Mayetta, KS 66509
Phone (785) 966-8200
Other providers in Mayetta, KS
- Abigail Rue
- Karan Dawn Russell
- Walter Anthony Siebert
- Stephen E Stevenson
- Thierry Tchekambou Tchiengue
- Edith Wamego
All providers in Mayetta, KS · Addiction (Substance Use Disorder) Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.