Individual provider Active NPI

Jeffrey Alexander Thompson

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1831750116
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC11071 Issued in MD
Practice address
309 Cathedral St Ste 200
Baltimore, MD 21201-4430
Phone
(443) 438-7863
Fax
(443) 957-9485
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP9234 MD
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LC11071 MD Primary

Addresses

Primary practice location

309 Cathedral St Ste 200
Baltimore, MD 21201-4430

Mailing address

8554 Black Star Cir
Columbia, MD 21045-2649

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

State licenses

LicenseStateTypeSpecialty
LC11071MDMDMental Health Counselor
LGP9234MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Wellness Addiction Center Incorporated CurrentSince May 11, 2025 Accepting new patients
Complete Wellness, Inc. Multi-Specialty Past Accepting new patients

Locations

10 W Madison St
Ste 11
Baltimore, MD 21201
Phone (443) 438-5239

309 Cathedral St
Ste 200
Baltimore, MD 21201
Phone (443) 438-7863

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1831750116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8554 BLACK STAR CIR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CATHEDRAL ST STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014430",
            "telephone_number": "443-438-7863",
            "fax_number": "443-957-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEFFREY",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP9234",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.