Active NPI
Paul Edward Thompson, M.S., LPC
- Mental Health Counselor
- Keller, TX
National Provider Identifier
1598810962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11488
- Practice address
- 5751 Kroger Dr.
Ste. 269
Keller, TX 76244-5651 - Phone
- (817) 812-2880
- Fax
- (817) 812-3096
- NPI assigned
- Jan 24, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11488 | TX | Primary |
Addresses
Primary practice location
5751 Kroger Dr.
Ste. 269
Keller, TX 76244-5651
Mailing address
5751 Kroger Dr.
Ste. 269
Keller, TX 76244-5651
Phone (817) 812-2880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5360LC | Other | TX | BLUE CROSS & BLUE SHIELD |
| 101407614 | Other | TX | UNITED BEHAVIORAL HEALTH |
| 4345207 | Other | TX | AETNA PROVIDER NUMBER |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11488 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logos Services, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Fort Worth, TX
- NPI 1215292081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1598810962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5751 KROGER DR.",
"address_2": "STE. 269",
"city": "KELLER",
"state": "TX",
"postal_code": "762445651",
"telephone_number": "817-812-2880",
"fax_number": "817-812-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5751 KROGER DR.",
"address_2": "STE. 269",
"city": "KELLER",
"state": "TX",
"postal_code": "762445651",
"telephone_number": "817-812-2880",
"fax_number": "817-812-3096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "PAUL",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "M.S., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "11488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "5360LC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "101407614",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4345207",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.