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
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4230 LINCOLNSHIRE DR
    SUITE E
    MOUNT VERNON, IL
    ZIP 62864
  • Phone: (618) 242-4290

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NPI Details

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
1101YA0400XCounselorAddiction (Substance Use Disorder)ILLINOISYes
2101YP2500XCounselorProfessionalILLINOISX

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
15266705OTHERILLINOISAETNA
204128084OTHERILLINOISBLUE 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: 3/30/2025

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