Paul Jeffrey Thompson, MA LPC, LBSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401009076 Issued in MI

Practice address

217 E Sanilac Rd
Sandusky, MI 48471-1383

Phone

(810) 583-0452

Fax

(810) 648-0315

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Sanilac County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Sandusky, MI
  • NPI 1306854880
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1629101944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MARLETTE RD.",
            "city": "APPLEGATE",
            "state": "MI",
            "postal_code": "484019739",
            "telephone_number": "810-404-8524",
            "fax_number": "888-828-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711383",
            "telephone_number": "810-583-0452",
            "fax_number": "810-648-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PAUL",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "MA LPC, LBSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Tereschuk-Phillips
• Nancy Tezak
• Lindsay Theobald, LLMSW
• Lori Ann Thomas, B.A., LBSW
• Mary R. Thompson, LMSW
• Trisha Lynn Thompson
• Timothy Edward Thomson, D.C.
• Thumb Audiology LLC
• Brandean Tilley
• Gregory Dale Titus

• Counselor in Sandusky, MI
• Providers in Sandusky, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.