Individual provider Active NPI

Carole L. Thompson, MA

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1770668295
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT41374 Issued in CA
Practice address
1337 Howe Ave Ste 103
Sacramento, CA 95825-3314
Phone
(916) 212-2932
Fax
(530) 620-1047
NPI assigned
Oct 25, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT41374 CA Primary

Addresses

Primary practice location

1337 Howe Ave Ste 103
Sacramento, CA 95825-3314

Mailing address

1337 Howe Ave Ste 103
Sacramento, CA 95825-3314
Phone (916) 212-2932

Other identifiers 2

IdentifierTypeStateIssuer
MFT413740OtherCABLUE SHIELD
364364OtherCAMHN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228000669 CA Practitioner - Mental Health Counselor 2365887593 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1337 Howe Ave
Suite 103
Sacramento, CA 95825-3314
Phone (916) 212-2932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFT41374CAMDMarriage & Family Therapist
41374CAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1770668295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 HOWE AVE STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253314",
            "telephone_number": "916-212-2932",
            "fax_number": "530-620-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 HOWE AVE STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253314",
            "telephone_number": "916-212-2932",
            "fax_number": "530-620-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAROLE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT41374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "MFT413740",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "364364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.