Gavin Paul Thompson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11048 Issued in CA

Practice address

1237 California St
Redding, CA 96001-0618

Phone

(530) 243-7470

Fax

(530) 243-7477

NPI assigned

Sep 1, 2020

Sex

Male

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

State licenses

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1508470261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 CALIFORNIA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010618",
            "telephone_number": "530-243-7470",
            "fax_number": "530-243-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 CALIFORNIA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010618",
            "telephone_number": "530-243-7470",
            "fax_number": "530-243-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GAVIN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "11048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Cypria Thomas, AMFT
• Thomas C Thomas, MD
• Tim L Thomas, P.T.
• Colleen Marie Thompson, LMFT 86224
• David Carl Thompson, M.D.
• James Byron Thompson, FNP
• Jantina Thompson, LCSW
• Kayla Ann Thompson
• Laura Christine Thompson, OTA/L
• Marcella Camille Thompson, LCSW

• Addiction (Substance Use Disorder) Counselor in Redding, CA
• Providers in Redding, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.