Kimberly Arleen Thompson, LCMHCA, LCAS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A16358 Issued in NC

Practice address

200 N Grove St
Lincolnton, NC 28092-2320

Phone

(980) 429-2690

Fax

(984) 203-9130

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1013430529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N GROVE ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922320",
            "telephone_number": "980-429-2690",
            "fax_number": "984-203-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N GROVE ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922320",
            "telephone_number": "980-429-2690",
            "fax_number": "984-203-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KIMBERLY",
        "middle_name": "ARLEEN",
        "credential": "LCMHCA, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CSAC-2013",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26812",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16358",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A16358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013430529",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Charlotte-Mecklenburg Hospital Authority (CMC Orthopaedic Surgery - Lincoln)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Lincoln)
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• Makenzie Dianne Thomas
• Cynthia Brittain Throneburg, FNP
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• Sarah Elizabeth Timmons, OTR/L
• Lauren Tinnell
• Eva Tollefsen

• Professional Counselor in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.