Provider Demographics
NPI:1821329079
Name:THOMPSON, ANNA J (MS, LPCC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:J
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N 3RD ST STE 230
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-3874
Mailing Address - Country:US
Mailing Address - Phone:701-696-4322
Mailing Address - Fax:701-501-6209
Practice Address - Street 1:120 N 3RD ST STE 230
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-3874
Practice Address - Country:US
Practice Address - Phone:701-696-4322
Practice Address - Fax:701-501-6209
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND599-1-15-08-203101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1469193Medicaid