DARYL E THOMPSON (NPI# 1194027052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194027052 |
| Entity Type | Individual |
| Full Name | DARYL E THOMPSON |
| Credential | BSW |
| Practice Address |
130 N Tillotson Ave Muncie IN 47304-3987 |
| Mailing Address |
240 N Tillotson Ave Muncie IN 47304-3988 |
| Practice Telephone | 7652881928 |
| Practice Fax Number | 7657410350 |
| Mailing Telephone | (765) 288-1928 |
| Mailing Fax Number | 7657410335 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
86000027A | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 N Tillotson Ave, Muncie, IN 473043988 | 7652881928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487832705 | Daryl James Thompson | Registered Nurse | 44551 Hillview Dr, Rushford, MN 55971-5085 | 2008-02-08 |
| 1851377451 | Daryl W. Thompson | Psychiatry & Neurology | 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104-5649 | 2005-12-16 |
| Street Address |
130 N TILLOTSON AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-3987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700854932 | Tammy Lightner | Nurse Practitioner | 130 N Tillotson Ave, Muncie, IN 47304-3987 | 2006-03-14 |
| 1346785037 | Meridian Health Services Corp | Clinic/Center | 130 N Tillotson Ave, Muncie, IN 47304-3987 | 2017-01-04 |
| 1689040842 | Brittney Schmidt | Social Worker | 130 N Tillotson Ave, Muncie, IN 47304-3987 | 2015-08-11 |
| 1629485107 | Ayodeji Ogunleye | Psychiatry & Neurology | 130 N Tillotson Ave, Muncie, IN 47304 | 2014-07-17 |
| 1063739670 | Pu Cheng | Psychiatry & Neurology | 130 N Tillotson Ave, Meridian Health Services Corp., Muncie, IN 47304-3987 | 2010-04-23 |
| 1073794657 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 130 N Tillotson Ave, Muncie, IN 47304-3987 | 2007-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881669414 | Timothy William Mccarty | Counselor | 240 N. Tillotson Avenue, Meridian Services Corp., Muncie, IN 47304-3988 | 2006-02-17 |
| 1689120388 | Garry Hill | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2016-09-01 |
| 1598180853 | Lisa Ann Ferguson | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2014-02-24 |
| 1609299833 | Bonnie Ellen Thompson | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2014-01-23 |
| 1295087278 | Amanda K Whitten | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2012-10-15 |
| 1952606873 | Stephanie L Maher | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2011-01-25 |
| 1740505460 | Nicole Marie Liedtke | Counselor | 3645 N Briarwood Ln, Ste A, Muncie, IN 47304-5337 | 2010-04-06 |
| 1609054022 | Richard Baker | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2008-02-07 |
| 1174701585 | Carol K Singer | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2008-02-07 |
| 1922286558 | Shelia Pettit | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2008-02-06 |
| Find all providers in MUNCIE | ||||
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| 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.