Active NPI
Teresa Jan Thompson, LPC 13076
- Mental Health Counselor
- Athens, TX
National Provider Identifier
1649664046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13076
- Practice address
- 2371 Green Gate Rd
Athens, TX 75752-5168 - Phone
- (903) 571-4026
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 13076 | TX | Primary |
Addresses
Primary practice location
2371 Green Gate Rd
Athens, TX 75752-5168
Mailing address
2371 Green Gate Rd
Athens, TX 75752-5168
Phone (903) 571-4026
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 |
|---|---|---|---|
| 13076 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1649664046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2371 GREEN GATE RD",
"city": "ATHENS",
"state": "TX",
"postal_code": "757525168",
"telephone_number": "903-571-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2371 GREEN GATE RD",
"city": "ATHENS",
"state": "TX",
"postal_code": "757525168",
"telephone_number": "903-571-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TERESA",
"middle_name": "JAN",
"credential": "LPC 13076",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "13076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TX
- Ralph Wayne Templin, D.O.
- Kaylie Alexandra Temporal, PA
- Teri Lynne Baumgartner M.D. PLLC (Athen's Women's Health Center)
- Teri Lynne Baumgartner PLLC (Athens Women's Health Center)
- Nicole Louise Thompson, NP
- Frederick Allen Thurmond, MD
- Tina P. Elkins MD PA
- Kenneth Wayne Tindel, ATP
- Michael C Tobes, MD
- Mendy Pabren Tolbert, PHARM. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.