Active NPI
J. Graham Thompson, LMFT
- Marriage & Family Therapist
- Springfield, IL
National Provider Identifier
1609942929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166-000115
- Practice address
- 1020 S 5TH St
Springfield, IL 62703-2312 - Phone
- (217) 544-3143
- Fax
- (217) 544-4436
- NPI assigned
- Nov 28, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166-000115 | IL | Primary |
Addresses
Primary practice location
1020 S 5TH St
Springfield, IL 62703-2312
Mailing address
1020 S 5TH St
Springfield, IL 62703-2312
Phone (217) 544-3143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166-000115 | Other | IL | MARRIAGE & FAMILY THERAPI |
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 |
|---|---|---|---|
| 166-000115 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Killian and Associates SC | 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.
-
- Psychiatry Physician
- Springfield, IL
- NPI 1487642708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1609942929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 S 5TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032312",
"telephone_number": "217-544-3143",
"fax_number": "217-544-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S 5TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032312",
"telephone_number": "217-544-3143",
"fax_number": "217-544-4436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "J.",
"middle_name": "GRAHAM",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166-000115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE & FAMILY THERAPI",
"identifier": "166-000115",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.