Katie R Thompson, LGPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LGP12104 Issued in MD

Practice address

1332 Londontown Blvd Ste 119
Eldersburg, MD 21784-6590

Phone

(443) 650-8480

NPI assigned

Nov 10, 2021

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katie Thompson LCPC, Inc.

  • Community/Behavioral Health Agency
  • Eldersburg, MD
  • NPI 1073271888
  NPD Authorized official

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1710643218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 BEDFORD DR",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217848837",
            "telephone_number": "443-650-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 LONDONTOWN BLVD STE 119",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846590",
            "telephone_number": "443-650-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATIE",
        "middle_name": "R",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP12104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH",
            "identifier": "LGP12130",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Luke David Tolley, DPT
• Sarah Eliizabeth Trail, DPT

• Counselor in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.