Amanda Thompson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101YP2500X Issued in IL

Practice address

641 W 63Rd St
Chicago, IL 60621-2032

Phone

(312) 747-7496

Fax

(312) 747-3674

NPI assigned

Oct 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• City of Chicago

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1205147717
  NPD (past)

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1689002339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043900",
            "telephone_number": "312-747-9545",
            "fax_number": "312-747-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212032",
            "telephone_number": "312-747-7496",
            "fax_number": "312-747-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "101YP2500X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366005820066",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Lynn Thompson-Miller, LCSW
• Alexa Thompson
• Alexis Anne Thompson, MD
• Alison Chesniak Thompson, APRN
• Alissa Nichole Thompson, DNP, APRN, PMHNP-BC
• Amanda L Thompson, DNP, APRN, AGACNP-BC
• Amanda Odonoghue Thompson
• Benjamin James Thompson, LPC
• Brian Thompson, PROGRAM MANAGER
• Brian K Thompson Jr., LCSW

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.