Individual provider Active NPI

Falencio Lorenzo Thompson, LPCA

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1013425180
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A13478 Issued in NC
Practice address
3 Centerview Dr Ste 150
Greensboro, NC 27407-3728
Phone
(336) 834-9664
Fax
(336) 834-9698
NPI assigned
Jan 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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 A13478 NC Primary

Addresses

Primary practice location

3 Centerview Dr Ste 150
Greensboro, NC 27407-3728

Mailing address

870 High St Ste 2
Chestertown, MD 21620-3914
Phone (410) 778-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231223000073 NC Practitioner - Mental Health Counselor 7113377672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A13478NCMDProfessional Counselor
13478NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients

Locations

931 3rd St
Greensboro, NC 27405
Phone (336) 890-2700

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1013425180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 HIGH ST STE 2",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203914",
            "telephone_number": "410-778-1099",
            "fax_number": "410-778-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTERVIEW DR STE 150",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073728",
            "telephone_number": "336-834-9664",
            "fax_number": "336-834-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "FALENCIO",
        "middle_name": "LORENZO",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.