Tommy Thompson, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180013075 Issued in IL

Practice address

4481 Ash Grove Dr Ste B
Springfield, IL 62711-6359

Phone

(217) 491-2708

NPI assigned

Mar 7, 2019

Sex

Male

Sole proprietor

No

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

State licenses

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 and National Provider Directory roles.

• Sunrise Counseling Services LLC

  • Professional Counselor
  • Springfield, IL
  • NPI 1104798180
  NPD Authorized official

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1669930715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 KARL LN",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023521",
            "telephone_number": "217-491-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 ASH GROVE DR STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116359",
            "telephone_number": "217-491-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TOMMY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "36627",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Palmer Thompson
• Katherine Sarah Thompson, MD, MPH
• Neil L Thompson, CRNA
• Rachael Thompson, PHARMD
• Sara Thompson, COTA/L
• Valerie S Thompson, M.D.
• Virginia L Thompson, LCSW
• Alexandra Thomsen, RBT
• Brock Daniel Thornton
• Carrie F Thornton

• Professional Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.