Stacey Lynn Thompson, MFT-I, AT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT78180 Issued in CA

Practice address

1346 Settle Ave
San Jose, CA 95125-2363

Phone

(415) 606-7756

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stacey Deforrest Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1942407648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 SETTLE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252363",
            "telephone_number": "415-606-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 SETTLE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252363",
            "telephone_number": "415-606-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "MFT-I, AT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT78180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAN JOSE CITY EMPLOYEE",
            "identifier": "109453",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "DEFORREST",
            "credential": "LMFT, ATR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Thompson, CMT
• Melissa Thompson
• Nicholas Jordon Thompson, RADT I
• Nicole Olivia Thompson
• Sheila Thompson
• Susan J Thompson, LCSW
• Tyrell Thompson
• Gregory R Thomson, PHD
• Karolina Elisabeth Thomson
• Sydney Ivana Thomson, MD

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.