Diane Maryie Thompson, SUDCC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

L15046065 Issued in CA

Practice address

559 E Bardsley Ave
Tulare, CA 93274-5400

Phone

(559) 688-7531

Fax

(559) 688-3509

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Kings View

  • Community/Behavioral Health Agency
  • Tulare, CA
  • NPI 1679797575
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1881094050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 E BARDSLEY AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932745400",
            "telephone_number": "559-688-7531",
            "fax_number": "559-688-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 E BARDSLEY AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932745400",
            "telephone_number": "559-688-7531",
            "fax_number": "559-688-3509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 N Locust St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932914946",
            "country_code": "US",
            "telephone_number": "559-627-1385 x11",
            "fax_number": "559-636-2105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DIANE",
        "middle_name": "MARYIE",
        "credential": "SUDCC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "L15046065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "5478",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1679797575",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Thai
• Dikshya Thapa Chhetri, MD
• Christina Thomas
• Justin Thomas, LCSW
• Nehemiah Thomas
• Emily Thompson, OTR/ L
• Thrifty Payless Inc
• Serenity Joane Thulin
• Tina Marie Paul MD Inc
• Klarissa Monique Tinoco

• Addiction (Substance Use Disorder) Counselor in Tulare, CA
• Providers in Tulare, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.