MR. MICHAEL GREGORY THOMPSON LCPC CRADC SAP NPI 1972612901

NPI Information

NPI: 1972612901
Provider Name: MR. MICHAEL GREGORY THOMPSON, LCPC , CRADC , SAP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4230 LINCOLNSHIRE DR
SUITE E
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-4290
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MR. Michael Gregory Thompson, LCPC , CRADC , SAP is an addiction (substance use disorder) counselor in Mount Vernon, IL. MR. Michael Gregory Thompson, LCPC , CRADC , SAP NPI is 1972612901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4230 LINCOLNSHIRE DR
SUITE E
MOUNT VERNON, IL
ZIP 62864-189
Phone: (618) 242-4290
Fax: (618) 242-4209

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		ILLINOIS	Yes
2	101YP2500X	Counselor	Professional		ILLINOIS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5266705	OTHER	ILLINOIS	AETNA
2	04128084	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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