MEDICARE: JENNA ELIZABETH THOMPSON

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

General Provider Information

NPI Number	:	1184589277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA ELIZABETH THOMPSON

Provider Business Mailing Address
First Line	:	401 E MARKET ST
Second Line	:
City	:	CELINA
State	:	OH
Zip	:	45822-1736
Country	:	US
Telephone Number	:	419-584-5123
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 C ST
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45804-1832
Country	:	US
Telephone Number	:	419-584-5123
Fax Number	:

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

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ JENNA ELIZABETH THOMPSON ” Practice Location

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