Ehlan H Thompson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1705 Issued in MN

Practice address

904 6TH Avenue CT NE
Isanti, MN 55040

Phone

(763) 444-8700

Fax

(763) 434-0192

NPI assigned

Mar 1, 2010

Last updated

Jun 26, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunrise Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Otsego, MN
  • NPI 1790309813
  Medicare reassignment NPD
• Therapy Associates Inc

  • Speech-Language Pathologist
  • Isanti, MN
  • NPI 1558418012
  NPD (past)
• Therapy Associates, Inc.

  • Speech-Language Pathologist
  • Isanti, MN
  • NPI 1366993412
  NPD (past)

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1881917110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 6TH AVENUE CT NE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403208",
            "telephone_number": "637-444-8700",
            "fax_number": "637-434-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 6TH AVENUE CT NE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "55040",
            "telephone_number": "763-444-8700",
            "fax_number": "763-434-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EHLAN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Squire
• Wendy Sue Stenberg, LAMFT
• Therapy Associates Inc
• Therapy Associates, Inc.
• Jenna Therrien, D.C.
• Stacy Jo Upton
• Aimee Vandermey
• Emma Elizabeth Verbrugge, DDS
• Wendy Jo Wade, LMFT
• Carissa Marie Webber, RN

• Marriage & Family Therapist in Isanti, MN
• Providers in Isanti, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.