Individual provider Active NPI

Kristopher Thompson

  • Mental Health Counselor
  • Doylesotwn, PA
National Provider Identifier
1518413194
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW018973 Issued in PA
Practice address
500 North West Street
Doylesotwn, PA 18901
Phone
(215) 345-5300
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW018973 PA Primary

Addresses

Primary practice location

500 North West Street
Doylesotwn, PA 18901

Mailing address

500 North West Street
Doylesotwn, PA 18901
Phone (215) 345-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005002384 PA Practitioner - Clinical Social Worker 3971855701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenape Valley FoundationGroup PAC ID 7719960913, 66 clinicians

Practice addresses (Care Compare)

500 N W St
Doylestown, PA 18901-2366
Phone (215) 345-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW018973PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lenape Valley Foundation CurrentSince Sep 5, 2018 Accepting new patients
Lenape Valley Foundation Mental Health CurrentSince Sep 5, 2018 Accepting new patients
Lenape Valley Foundation Mental Health Current Accepting new patients

Locations

500 N West St
Doylestown, PA 18901
Phone (267) 893-5118

Organizations & group practices 3

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1518413194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NORTH WEST STREET",
            "city": "DOYLESOTWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "215-345-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NORTH WEST STREET",
            "city": "DOYLESOTWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "215-345-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTOPHER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW018973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.