Individual provider Active NPI

Gisele Ray Thompson, LCPC

  • Professional Counselor
  • Bel Air, MD
National Provider Identifier
1003377094
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC9445 Issued in MD
Practice address
21 Eastern Ave
Bel Air, MD 21014-3902
Phone
(410) 227-1766
NPI assigned
Mar 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC9445 MD Primary

Addresses

Primary practice location

21 Eastern Ave
Bel Air, MD 21014-3902

Mailing address

1205 McCleary Ter Apt 105
Bel Air, MD 21014-4542
Phone (410) 227-1766

Other identifiers 1

IdentifierTypeStateIssuer
1003377094OtherMDFREE TO BE ME COUNSELING LLC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address giselethompson@verizon.net Direct
Direct Messaging Address giselethompson@verizon.net Direct Family and Children therapy Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC9445MDMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1003377094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MCCLEARY TER APT 105",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144542",
            "telephone_number": "410-227-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EASTERN AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143902",
            "telephone_number": "410-227-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GISELE",
        "middle_name": "RAY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2023-04-14",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC9445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREE TO BE ME COUNSELING LLC",
            "identifier": "1003377094",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "giselethompson@verizon.net",
            "affiliation": "N",
            "endpointDescription": "My email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2018 Rock Spring Rd",
            "city": "Forest Hill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210502631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "giselethompson@verizon.net",
            "affiliation": "Y",
            "endpointDescription": "Communication of patient information",
            "affiliationName": "Family and Children therapy Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unknown",
            "address_1": "2018 Rock Spring Rd",
            "city": "Forest Hill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210502631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.