Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant M Thompson, LPC-IT

Individual provider Professional Counselor · NPI 1215817051

Grant M Thompson, LPC-IT is a Professional Counselor in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

1225 Prairie Creek Blvd Unit 209
Oconomowoc, WI 53066-8685
Phone: (608) 302-6395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8671-226 (WI)

Record details

NPI number1215817051
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedSeptember 3, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

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