TOMMY THOMPSON (NPI# 1669930715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669930715 |
| Entity Type | Individual |
| Full Name | TOMMY THOMPSON |
| Credential | LPC |
| Practice Address |
2323 Stevenson Dr Springfield IL 62703-4331 |
| Mailing Address |
55 E Jackson Blvd Ste 1500 Chicago IL 60604-4137 |
| Practice Telephone | 2175299266 |
| Mailing Telephone | 3126631130 |
| Mailing Fax Number | 3126630504 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
178014017 | IL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
178014017 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145671 | Tommy Ralph Thompson | Pharmacist | 4004 Foothills, Roseville, CA 95747 | 2010-05-24 |
| 1588980908 | Tommy Lewis Thompson Jr. | Nurse Practitioner | 1861 River Rd, Clarksville, TN 37040-7437 | 2010-04-09 |
| 1528282084 | Tommy Allen Thompson | Dentist | 5249 Bridge St, Fort Worth, TX 76103-1350 | 2007-04-13 |
| 1982713624 | Tommy Lynn Thompson | Pharmacist | 513 Hillary, Suite B, Comanche, OK 73529 | 2006-08-29 |
| 1487072856 | Tommy Glen Thompson II | Emergency Medicine | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2014-04-02 |
| 1699019596 | Tommy Thompson | Nurse Practitioner | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2012-11-15 |
| 1326255894 | Tommy Thompson | Urology | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2007-05-16 |
| 1144435355 | Tommy Lester Thompson | Pharmacist | 49 Harrell St, Trion, GA 30753 | 2007-05-11 |
| 1326067026 | Tommy Denton Thompson | Dentist | 108 Palmetto Park Blvd, Lexington, SC 29072-7968 | 2006-07-19 |
| Street Address |
2323 STEVENSON DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851740559 | Gateway Foundation, Inc. | Clinic/Center | 2323 Stevenson Dr, Springfield, IL 62703-4331 | 2016-06-03 |
| 1891333977 | Gateway Professional Services, PC | Counselor | 2323 Stevenson Dr, Springfield, IL 62703-4331 | 2019-12-19 |
| 1053878983 | Oluwatamilore Odimayo | Counselor | 2323 Stevenson Dr, Springfield, IL 62703-4331 | 2019-02-27 |
| 1194282343 | Katherine Henrikson | Social Worker | 2323 Stevenson Dr, Springfield, IL 62703-4331 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
| 1366055352 | Joshua Dauner | Counselor | 819 N Boonville Ave, Springfield, MO 65802-3831 | 2020-08-28 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1003426610 | Jy Counseling LLC | Counselor | 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 | 2020-08-07 |
| 1912526674 | Amy Christine Russell | Counselor | 317 30th St Apt 304d, Springfield, OR 97478-7619 | 2020-04-13 |
| 1588299184 | Julie Patricia Slover | Counselor | 3331 S Parkview Ave, Springfield, MO 65804-4755 | 2020-03-04 |
| 1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
| 1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
| 1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
| 1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on TOMMY THOMPSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.