MEDICARE: BRIANNA CHRISTINE NICOLE THOMPSON LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39004166A	IN

General Provider Information

NPI Number	:	1255071510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA CHRISTINE NICOLE THOMPSON LMHC

Provider Business Mailing Address
First Line	:	2040 N SHADELAND AVE STE 250
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-1712
Country	:	US
Telephone Number	:	317-355-5331
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 N SHADELAND AVE STE 250
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-1712
Country	:	US
Telephone Number	:	317-355-5331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2022
Last Update Date	:	01/06/2026

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Directions to “ BRIANNA CHRISTINE NICOLE THOMPSON LMHC” Practice Location

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