Samantha Thompson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1928 N 2753Rd Rd
Ottawa, IL 61350-9703

Phone

(815) 343-3293

NPI assigned

Aug 4, 2021

Reactivated

Apr 3, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1649944570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HERITAGE LN",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 N 2753RD RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509703",
            "telephone_number": "815-343-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "deactivation_date": "2025-03-19",
        "reactivation_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Centre for Oral Surgery in Joliet, Inc.
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• David Gerard Thompson, M.D.
• Jackie L Thompson, MA-CCC-A
• Trevor Thompson, COTA
• Julie Ann Threadgill, APRN,CNP
• Thrive Collective
• Elizabeth M Thrush, RPH
• Kristina Thrush, LPC, NCC

• Behavior Analyst in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.