Kristel M Thompson-Bush, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904012597 Issued in VA

Practice address

1900 Byrd Ave Ste 103
Richmond, VA 23230-3033

Phone

(804) 592-6311

Fax

(844) 227-7690

NPI assigned

Jan 25, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 20, 2024 through Sep 20, 2026

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.

• Richmond Creative Counseling

  • Adult Mental Health Clinic/Center
  • North Chesterfield, VA
  • NPI 1285322628

  Clinical

  NPD (past)
• Richmond Creative Counseling, LLC

  • Professional Counselor
  • Richmond, VA
  • NPI 1689016735
  NPD (past)

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1770173577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BYRD AVE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303033",
            "telephone_number": "804-592-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BYRD AVE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303033",
            "telephone_number": "804-592-6311",
            "fax_number": "844-227-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-BUSH",
        "first_name": "KRISTEL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spontaneous Thomas
• Stacey Fling Thomas, M.S.P.T.
• Theresa Thomas, RN MSN
• Edward John Thomason, DDS
• Kimberly Shepherd Thompkins, PHARMD
• Anita Marie Thompson, PTA
• Anna Thompson, BCABA, LABA
• Brien Thompson
• Corinne Michelle Thompson, LCSW
• Cynthia Ann Thompson, CRNA

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.