DEREK DEVAN THOMPSON M.A. LMHC NPI 1619104403

NPI Information

NPI: 1619104403
Provider Name: DEREK DEVAN THOMPSON, M.A. LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
19750 MINKLER RD
ADAMS CENTER, NY
ZIP 13606
Phone: (956) 401-8650
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Derek Devan Thompson, M.A. LMHC is a mental health counselor in Adams Center, NY. Derek Devan Thompson, M.A. LMHC NPI is 1619104403. 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:

19750 MINKLER RD
ADAMS CENTER, NY
ZIP 13606-122
Phone: (956) 401-8650

The enumeration date for this NPI number is 6/18/2009 and was last updated on 9/12/2022.

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	103TC1900X	Psychologist	Counseling	6301014190	MICHIGAN	No
2	101YM0800X	Counselor	Mental Health	007172	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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