Mrs Tiana Petit Thompson, LPC, LMHC is a
Psychologist - Counseling based in Portland, Oregon. Mrs Tiana Petit Thompson is licensed to practice in Oregon (license number C4006) and her current practice location is
2306 Ne Glisan St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(971) 998-6080.
NPI number for Mrs Tiana Petit Thompson is 1023454097 and her current mailing address is 3415 Ne 44th Ave, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023454097.
Healthcare Provider's Profile
Full Name | Mrs Tiana Petit Thompson |
---|
Gender | Female |
---|
Speciality | Psychologist - Counseling |
---|
Location | 2306 Ne Glisan St, Portland, Oregon |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023454097
- Provider Enumeration Date: 05/17/2013
- Last Update Date: 11/16/2019
Medical Identifiers
Medical identifiers for Mrs Tiana Petit Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023454097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LH60586515 (Washington) | Secondary |
103TC1900X | Psychologist - Counseling | C4006 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tiana Petit Thompson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tiana Petit Thompson, LPC, LMHC 3415 Ne 44th Ave, Portland, OR 97213-1140 Ph: (971) 998-6080 | Mrs Tiana Petit Thompson, LPC, LMHC 2306 Ne Glisan St, Portland, OR 97232-2392 Ph: (971) 998-6080 |
Reviews and Comments