Individual provider Active NPI

Jane Ann Thompson, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Winchester, VA
National Provider Identifier
1720135338
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
94038 Issued in VA
Practice address
2971 Valley Ave
Winchester, VA 22601-2631
Phone
(540) 533-8952
Fax
(540) 667-7683
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 94038 VA Primary
Clinical Social Worker 1041C0700X 0904-003795 VA

Addresses

Primary practice location

2971 Valley Ave
Winchester, VA 22601-2631

Mailing address

2971 Valley Ave
Winchester, VA 22601-2631
Phone (540) 533-8952

Other identifiers 1

IdentifierTypeStateIssuer
8931551MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 3, 2024 through Apr 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
94038VAMDAddiction (Substance Use Disorder) Counselor
0904-003795VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Healthcare LLC Past Accepting new patients
Genoa Healthcare LLC PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1720135338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 VALLEY AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012631",
            "telephone_number": "540-533-8952",
            "fax_number": "540-667-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 VALLEY AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012631",
            "telephone_number": "540-533-8952",
            "fax_number": "540-667-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JANE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "94038",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904-003795",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931551",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.