MR. JERRY MIZELL THOMPSON (NPI# 1902082290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902082290 |
| Entity Type | Individual |
| Full Name | MR. JERRY MIZELL THOMPSON |
| Credential | LMHC |
| Practice Address |
24 Nw 33rd Ct Suite A Gainesville FL 32607-2582 |
| Practice Telephone | 3523763559 |
| Mailing Telephone | 3523763559 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
00000758MHC | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659869634 | Jerry Todd Thompson | Student in an Organized Health Care Education/Training Program | 208 Medical Park Blvd, Bristol, TN 37620-7343 | 2018-04-25 |
| 1538559265 | Jerry Thompson | Psychologist | 263 Royal Oak Way, Venice, FL 34292-3189 | 2015-02-03 |
| 1720238751 | Jerry Ronald Thompson Jr. | Pharmacist | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2008-09-26 |
| 1255514931 | Jerry Thompson | Nurse Practitioner | 1000 Tuckerton Ct, Reading, PA 19605-1177 | 2007-12-17 |
| Street Address |
24 NW 33RD CT SUITE A |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32607-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335917 | Jennifer Jay | Behavioral Analyst | 4020 Sw 21st Rd, Gainesville, FL 32607 | 2019-09-19 |
| 1184186942 | The Birth Center At Cwh | Clinic/Center | 4454 Nw 6th Place, Gainesville, FL 32607 | 2019-04-02 |
| 1356823371 | Wendy Gibbs | Marriage & Family Therapist | 200 Nw 75th Drive, Suite B, Gainesville, FL 32607 | 2018-09-06 |
| 1104314368 | Meghan Bowser | Student in an Organized Health Care Education/Training Program | Academic Health Center Room 408, 1600 Sw Archer Road, Gainesville, FL 32607 | 2018-04-24 |
| 1942707328 | Anne Marie Littell | Student in an Organized Health Care Education/Training Program | 1707 N. Main Street, Gainesville, FL 32607 | 2018-04-11 |
| 1609378173 | Jeremy Markoski | Behavior Technician | 2035 Sw 75th St Suite B, Gainesville, FL 32607 | 2018-03-01 |
| 1013428085 | Adaric Kelly | Student in an Organized Health Care Education/Training Program | 502 Sw 34th St Apt 8, Gainesville, FL 32607 | 2017-10-18 |
| 1215454830 | Whitney Kristine Schaff | Dentist | 6110 Nw 1st Pl, Gainesville, FL 32607 | 2017-08-24 |
| 1316476674 | Jason Amadio | Specialist/Technologist | 1000 Sw 62nd Blvd, Gainesville, FL 32607 | 2017-06-08 |
| 1245784552 | Traci Pettigrew | Acupuncturist | 4001 Newberry Rd A3, Gainesville, FL 32607 | 2016-08-04 |
| Find all providers in zip 32607 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817760 | Appendix, Inc | Counselor | 2228 Nw 44th Pl, Gainesville, FL 32605-1761 | 2020-10-06 |
| 1063019057 | Shaun Michael Anderson | Counselor | 235 S Main St Ste 203, Gainesville, FL 32601-6585 | 2020-10-03 |
| 1538775804 | Daniel Patrick Blakeman | Counselor | 2220 Sw 34th St Apt 326, Gainesville, FL 32608-1213 | 2020-09-21 |
| 1265041487 | Margaret Ann Creegan | Counselor | 8763 Sw 27th Ln, Gainesville, FL 32608-9338 | 2020-07-23 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1326669490 | Jennifer Beaujon | Counselor | 6117 Cardinal Dr, Gainesville, GA 30506-2437 | 2020-04-30 |
| 1699303602 | Sunni S Lutton | Counselor | 3745 Sw 3rd Pl, Gainesville, FL 32607-2846 | 2020-03-27 |
| 1275163420 | Yarelis Serrano | Counselor | 8763 Sw 27th Ln # 101, Gainesville, FL 32608-9338 | 2020-01-16 |
| 1861039968 | Lori Lynn Mcgruder | Counselor | 1607 Nw 120th Way, Gainesville, FL 32606-5273 | 2019-12-08 |
| 1003467788 | Darcy Pare | Counselor | 10390 Sw 105th Dr, Gainesville, FL 32608-7358 | 2019-09-24 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32607 |
Please comment or provide details below to improve the information on MR. JERRY MIZELL 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.