MR. CLARENCE ALLEY THOMPSON III (NPI# 1508282385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508282385 |
| Entity Type | Individual |
| Full Name | MR. CLARENCE ALLEY THOMPSON III |
| Credential | M.F.C.C. |
| Practice Address |
225 4th Ave #203 Venice CA 90291-8605 |
| Practice Telephone | 3103961716 |
| Mailing Telephone | 3103961716 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFC 28772 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | COBRA | MFC 28772 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851516082 | Clarence N. Thompson | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2007-04-14 |
| Street Address |
225 4TH AVE #203 |
| City | VENICE |
| State | CA |
| Zip Code | 90291-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339899 | Amy Claude | Counselor | 417 Redwood Rd, Venice, FL 34293-1128 | 2020-02-28 |
| 1083191134 | Susan Winfield | Counselor | 615 Hampton Dr Unit A303, Venice, CA 90291-2793 | 2018-07-22 |
| 1053825638 | David Huw Burston | Counselor | 703 Machado Dr, Venice, CA 90291-2706 | 2017-11-19 |
| 1417305061 | Lindsay Dec | Counselor | 333 Tamiami Trl S Ste 293, Venice, FL 34285-2415 | 2016-05-24 |
| 1639572720 | John Andrew Ireland | Counselor | 1010 Kings Ct, Venice, FL 34293-2024 | 2014-10-02 |
| 1609276229 | Erin Leanne Parrett | Counselor | 223 High Point Dr, Venice, FL 34292-1717 | 2014-09-02 |
| 1750795720 | Surety Inc. | Counselor | 266 Miami Ave W Ste B, Venice, FL 34285-2320 | 2014-06-17 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1851714034 | Kathleen Whitworth | Counselor | 19503 S West Villages Pkwy, Venice, FL 34293 | 2014-01-24 |
| 1447688387 | Ashley Nicole Moore | Counselor | 775 Devon Rd, Venice, FL 34293-5670 | 2013-10-30 |
| Find all providers in VENICE | ||||
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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.