Isaiah David Thompson, LMHC | |
1600 W Main St, Lebanon, IN 46052-2388 | |
(317) 574-1254 | |
(317) 674-0060 |
Full Name | Isaiah David Thompson |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1600 W Main St, Lebanon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700596004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39004351A (Indiana) | Primary |
Entity Name | Aspire Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124016050 PECOS PAC ID: 4486635455 Enrollment ID: O20041015000190 |
Entity Name | Aspire Indiana Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780068288 PECOS PAC ID: 8921314196 Enrollment ID: O20150902001749 |
Mailing Address | Practice Location Address |
---|---|
Isaiah David Thompson, LMHC 9615 E 148th St Ste 1, Noblesville, IN 46060-4371 Ph: (317) 571-1818 | Isaiah David Thompson, LMHC 1600 W Main St, Lebanon, IN 46052-2388 Ph: (317) 574-1254 |
Amelia Ann West, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 N Lebanon St, Lebanon, IN 46052 Phone: 765-680-0071 Fax: 765-680-0468 | |
Mrs. Melissa Marie Bush, MA, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 940 Lasley Dr, Lebanon, IN 46052 Phone: 765-482-7421 Fax: 765-482-7462 | |
Laura E Teeters, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 Lasley Dr, Lebanon, IN 46052 Phone: 888-714-1927 Fax: 317-745-9565 | |
Katheryn Leigh Shelton, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 N Lebanon St, Lebanon, IN 46052 Phone: 765-680-0071 Fax: 765-680-0468 | |
Angela Joy Johnson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 Ransdell Rd, Lebanon, IN 46052 Phone: 317-574-1254 Fax: 317-674-0060 | |
Leanne Rusin, MS, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 Lasley Dr, Lebanon, IN 46052 Phone: 888-714-1927 Fax: 765-482-7462 | |
Kathleen Mossman, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1122 N Lebanon St, Kathleen Mossman, Lcsw:c/o Mental Health America-boone, Lebanon, IN 46052 Phone: 765-894-2620 Fax: 765-482-0288 |