Kimberly Thompson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2015014884 Issued in MO

Practice address

11648 Gravois Rd
Suite 140
Saint Louis, MO 63126-3034

Phone

(314) 472-3411

Fax

(314) 200-6978

NPI assigned

Dec 17, 2015

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

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": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1952766917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8638 OLD BONHOMME RD",
            "address_2": "APT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323932",
            "telephone_number": "314-743-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11648 GRAVOIS RD",
            "address_2": "SUITE 140",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631263034",
            "telephone_number": "314-472-3411",
            "fax_number": "314-200-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KIMBERLY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015014884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Michael Thompson, MD
• Kaitlyn Crutchley Thompson, MD
• Kathryn Thompson
• Kelly Brian Thompson, MD
• Keniesha Olga-May Thompson, M.D.
• Latoya Thompson
• Laura R Thompson, MD
• Lisa Thompson
• Madeleine A Thompson, PA-C, RD, LD
• Madisyn Thompson, PHARM.D.

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.