Individual provider Active NPI

Marquita Lashawn Thompson, MA, LPC

  • Mental Health Counselor
  • Monroe, OH
National Provider Identifier
1578051413
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1801116 Issued in OH
Practice address
30 Overbrook Dr
Monroe, OH 45050-3100
Phone
(513) 539-5250
NPI assigned
Apr 26, 2018
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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 C.1801116 OH Primary

Addresses

Primary practice location

30 Overbrook Dr
Monroe, OH 45050-3100

Mailing address

743 Knickerbocker Ave
Springfield, OH 45506-3319
Phone (330) 233-4655

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C.1801116OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mahogany Bridges Mental Health Services LLC Mental Health Current Accepting new patients
Mahogany Bridges Mental Health Services LLC Mental Health CurrentSince Nov 21, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marquita.thompson.1@14940.direct.athenahealth.com

Organizations & group practices 2

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1578051413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 KNICKERBOCKER AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455063319",
            "telephone_number": "330-233-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 OVERBROOK DR",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450503100",
            "telephone_number": "513-539-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARQUITA",
        "middle_name": "LASHAWN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1801116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.