Active NPI
Michael Thompson, MA, LPC
- Professional Counselor
- Bryan, TX
National Provider Identifier
1821455247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 72547
- Practice address
- 1920 W Villa Maria Rd
Ste 303
Bryan, TX 77807-4857 - Phone
- (979) 906-1708
- NPI assigned
- Jan 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 72547 | TX | Primary |
Addresses
Primary practice location
1920 W Villa Maria Rd
Ste 303
Bryan, TX 77807-4857
Mailing address
208 Maple St
Calvert, TX 77837-7927
Phone (979) 906-1708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72547 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1821455247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 MAPLE ST",
"city": "CALVERT",
"state": "TX",
"postal_code": "778377927",
"telephone_number": "979-906-1708",
"fax_number": "979-217-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 W VILLA MARIA RD",
"address_2": "STE 303",
"city": "BRYAN",
"state": "TX",
"postal_code": "778074857",
"telephone_number": "979-906-1708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-15",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "72547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.