Tommy Thompson, LCPC
Counselor, Professional in Springfield, IL. Individual provider (NPI-1).
NPI number1669930715
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1669930715
- Entity type
- Individual (NPI-1)
- Name
- Tommy Thompson
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2019
- Certification date
- Sep 27, 2024
- Last updated
- Sep 27, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180013075 | IL | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 36627 | IL |
Practice location
4481 Ash Grove Dr Ste BSpringfield, IL 62711-6359
Phone 217-491-2708
Mailing address
19 Karl LnSpringfield, IL 62702-3521
Phone 217-491-2708
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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