MR. MICHAEL GREGORY THOMPSON (NPI# 1972612901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972612901 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL GREGORY THOMPSON |
| Credential | LCPC , CRADC , SAP |
| Practice Address |
4230 Lincolnshire Dr Suite E Mount Vernon IL 62864-2189 |
| Practice Telephone | 6182424290 |
| Practice Fax Number | 6182424209 |
| Mailing Telephone | 6182424290 |
| Mailing Fax Number | 6182424209 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
IL | Behavioral Health & Social Service Providers | |
| X | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 04128084 | 01 |
| IL | AETNA | 5266705 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912479676 | Michael Thompson | Licensed Practical Nurse | 381 E New York Ave, Brooklyn, NY 11225 | 2018-12-19 |
| 1275009235 | Michael Gordon Thompson | Psychologist | 34 Robin Hood Rd, Arlington, MA 02474-1242 | 2018-10-17 |
| 1003317009 | Michael James Thompson | Behavior Technician | 6301 Moraga Dr, Carmichael, CA 95608-1128 | 2018-02-24 |
| 1386152031 | Michael Thompson | Technician | 4820 Saguaro Way, Las Vegas, NV 89121-2930 | 2018-01-16 |
| 1598271371 | Michael Thompson | Pharmacist | 1400 Village Square Blvd # 3305, Tallahassee, FL 32312-1250 | 2017-12-15 |
| 1891208153 | Michael L Thompson | Marriage & Family Therapist | 7901 Croftwood Dr, Austin, TX 78749-3205 | 2017-11-08 |
| 1871002899 | Michael Thompson | Specialist/Technologist | 1504 Manning Forest Dr Apt B5, Greenville, NC 27834-6248 | 2017-09-21 |
| 1104366525 | Michael Thompson | Behavioral Analyst | 2516 Westwind Blvd, Cambridge, MD 21613-3811 | 2017-03-04 |
| 1588017313 | Michael Thompson | Specialist/Technologist | 3339 Virginia St Apt 138, Coconut Grove, FL 33133-6028 | 2016-07-17 |
| 1346627841 | Michael Avery Thompson | Registered Nurse | 2773 Harris St Ste A, Eureka, CA 95503-4866 | 2015-05-04 |
| Street Address |
4230 LINCOLNSHIRE DR SUITE E |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336282276 | Lincolnshire Pharmacy | Pharmacy | 4230 Lincolnshire Dr, Suite F, Mount Vernon, IL 62864-2189 | 2007-02-14 |
| 1659467207 | Sheila J. Ashby | Social Worker | 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864-2189 | 2006-10-04 |
| 1184721110 | Lydia Ann Williams | Psychologist | 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864-2189 | 2006-09-20 |
| 1093818114 | Darla B Wexstten | Social Worker | 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864-2189 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210607 | Lindsay Susan Smith | Counselor | 401 W High St, Mount Vernon, OH 43050-2324 | 2018-10-02 |
| 1962932640 | Megan J Pickard | Counselor | 1601 E College Way # 1, Mount Vernon, WA 98273-5612 | 2017-06-15 |
| 1659611051 | Richard Rudolph Jones | Counselor | 110 No. 10th. Ave. Apt.#7x, Mount Vernon, NY 10551 | 2013-02-21 |
| 1144569948 | Paulette Erin Nathan | Counselor | 332 Hayward Ave, Mount Vernon, NY 10552-1607 | 2013-02-14 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1831464346 | Tyler John Hitzfield | Counselor | 120 S Norton St, Mount Vernon, OH 43050-2313 | 2012-03-16 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1275835373 | Ronald M. Carlos | Counselor | 30 Fleetwood Ave, #1-g, Mount Vernon, NY 10552-2865 | 2010-11-22 |
| 1013234673 | Bobbi Jo Milbrandt | Counselor | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2010-04-22 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on MR. MICHAEL GREGORY 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.