| Jodi Jean Thompson, LPC | |
|
513 3rd St Sw, Wagner, SD 57380-9675 | |
| (605) 384-3418 | |
| (605) 384-5240 |
| Full Name | Jodi Jean Thompson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 513 3rd St Sw, Wagner, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811743057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC20615 (South Dakota) | Primary |
| Entity Name | Wagner Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740306992 PECOS PAC ID: 3577459700 Enrollment ID: O20040225000391 |
| Entity Name | Wagner Community Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326030974 PECOS PAC ID: 3577459700 Enrollment ID: O20061104000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Jean Thompson, LPC 40438 296th St, Avon, SD 57315-5000 Ph: (605) 595-8929 | Jodi Jean Thompson, LPC 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3418 |
Jennifer Noteboom, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 111 Washington Ave Nw, Wagner, SD 57380 Phone: 605-384-4861 Fax: 605-384-4872 |
Vanessa Iverson, LPC-MH Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Washington Ave Nw, Wagner, SD 57380 Phone: 605-384-3621 |