Active NPI
Shirley Mary Thompson, MED
- Professional Counselor
- Taylors, SC
National Provider Identifier
1053556514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4811
- Practice address
- 161 Landmark Dr
Taylors, SC 29687-2819 - Phone
- (864) 423-6850
- NPI assigned
- Dec 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4811 | SC | Primary |
Addresses
Primary practice location
161 Landmark Dr
Taylors, SC 29687-2819
Mailing address
4 Poplar Springs Dr
Mauldin, SC 29662-3192
Phone (864) 423-6850
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4811 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1053556514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 POPLAR SPRINGS DR",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296623192",
"telephone_number": "864-423-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 LANDMARK DR",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296872819",
"telephone_number": "864-423-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SHIRLEY",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "4811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylors, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.