MRS. SARA JANE THOMPSON – Mental Health Counselor, NPI 1780266403

MRS. SARA JANE THOMPSON is a healthcare provider. based in Broken arrow, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MRS. SARA JANE THOMPSON is 1780266403

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SARA JANE THOMPSON
NPI
1780266403
Phone
(918) 615-6620
Address
504 W ATLANTA ST
Enumeration Date
22 April 2021
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186156620
Graduation Year
2021 (5 years ago)
PAC ID
5890221162
Group Practice PAC ID
3375078389
Professional Enrollment ID
I20241210002261
Address ID
OK740127004BR504XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for MRS. SARA JANE THOMPSON

  • 504 W ATLANTA ST

    BROKEN ARROW, OK 740127004

    Phone: (918) 615-6620

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241210002261IMental Health CounselorOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375078389View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Clinical Social WorkerOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. SARA JANE THOMPSON?
MRS. SARA JANE THOMPSON — NPI 1780266403 — is the standard way to identify this listing.
Is MRS. SARA JANE THOMPSON listed as active for patients and plans?
The listing shows MRS. SARA JANE THOMPSON as active in the NPI system.
What is MRS. SARA JANE THOMPSON's primary classification?
Mental Health Counselor is the headline specialty for MRS. SARA JANE THOMPSON here. Clinical services aligned with this taxonomy classification.
Does MRS. SARA JANE THOMPSON list a practice location?
Patients near Broken Arrow, Oklahoma may find MRS. SARA JANE THOMPSON in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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