Eden Chase Thompson, CASE MANAGER II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2215 NW Cache Rd Ste 107
Lawton, OK 73505-5258

Phone

(580) 351-9998

NPI assigned

Apr 25, 2011

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

Practice roles

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.

• Open Arms Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Lawton, OK
  • NPI 1962699983
  NPD (past)

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1679864680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NW CACHE RD STE 107",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055258",
            "telephone_number": "580-351-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NW CACHE RD STE 107",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055258",
            "telephone_number": "580-351-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EDEN",
        "middle_name": "CHASE",
        "credential": "CASE MANAGER II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Thomas
• Santhosh Thomas, PHARMD
• Taralynn Thomas
• Christal Thompkins
• Dean Thompson
• Helen Thompson
• Jennifer Lin Thompson
• Jerry Vincent Thompson III, RN
• Jules Raylin Thompson
• Justin William Thompson

• Mental Health Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.