EARLISA THOMPSON (NPI# 1477150126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477150126 |
| Entity Type | Individual |
| Full Name | EARLISA THOMPSON |
| Practice Address |
1377 Johnny Johnson Dr Brookhaven MS 39601-9641 |
| Mailing Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 6019902398 |
| Mailing Telephone | 7692515550 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1377 JOHNNY JOHNSON DR |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-9641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316006 | Shamekia Nichols | Social Worker | 1377 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2020-04-28 |
| 1265040992 | Ju'daijah Banks | Counselor | 1377 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2020-07-20 |
| 1831713882 | Katressia Antwanette Wilson | Counselor | 1377 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2020-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830969 | Jacklyn Joy Byrd | Counselor | 3103 Clairmont Rd Ne Ste B, Brookhaven, GA 30329-1043 | 2020-08-06 |
| 1720588569 | Abigail Marie Mcgill | Counselor | 4420 Peachtree Rd Ne Apt 2319, Brookhaven, GA 30319-2764 | 2018-02-19 |
| 1760993984 | Caroline M. Brackette | Counselor | 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 | 2017-10-15 |
| 1740511922 | Thomas E Morrison Jr. | Counselor | 125 E Roland Rd, Brookhaven, PA 19015-3326 | 2010-01-27 |
| 1205036381 | Katherine Dejoy Cossette | Counselor | 2801 Buford Hwy Ne Ste 190, Brookhaven, GA 30329-2124 | 2007-07-18 |
| 1457570939 | Thomas Richard Michael Balkcom | Counselor | 1107 S Jackson St, Brookhaven, MS 39601-4609 | 2007-04-24 |
| 1265040992 | Ju'daijah Banks | Counselor | 1377 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2020-07-20 |
| 1831713882 | Katressia Antwanette Wilson | Counselor | 1377 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2020-06-05 |
| 1881137909 | Linda Davis | Counselor | 1350 Dresden Dr Ne, Brookhaven, GA 30319-3454 | 2016-11-21 |
| 1982096939 | Inmind LLC | Counselor | 2801 Buford Hwy Ne Ste 503, Brookhaven, GA 30329-2137 | 2015-02-27 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on EARLISA 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.