Active NPI
Michael Douglas Tompkins, LCAS
- Addiction (Substance Use Disorder) Counselor
- Sparta, NC
National Provider Identifier
1528035409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 66
- Practice address
- 1650 Hwy 18 South
Sparta, NC 28675-8478 - Phone
- (336) 372-4095
- Fax
- (828) 262-5687
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 66 | NC | Primary |
Addresses
Primary practice location
1650 Hwy 18 South
Sparta, NC 28675-8478
Mailing address
895 State Farm Rd
Suite 508
Boone, NC 28607-4917
Phone (336) 372-4095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6111829 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 66 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1528035409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 STATE FARM RD",
"address_2": "SUITE 508",
"city": "BOONE",
"state": "NC",
"postal_code": "286074917",
"telephone_number": "336-372-4095",
"fax_number": "828-262-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 HWY 18 SOUTH",
"city": "SPARTA",
"state": "NC",
"postal_code": "286758478",
"telephone_number": "336-372-4095",
"fax_number": "828-262-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMPKINS",
"first_name": "MICHAEL",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "66",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6111829",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sparta, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.