Individual provider Active NPI

Thalise Vieux, LMBT, MA

  • Massage Therapist
  • Sanford, NC
National Provider Identifier
1083201289
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8621 Issued in NC
Practice address
15 Mountainside LN
Sanford, NC 27332-9509
Phone
(910) 635-6324
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X NY
Massage Therapist 225700000X 8621 NC Primary

Addresses

Primary practice location

15 Mountainside LN
Sanford, NC 27332-9509

Mailing address

15 Mountainside LN
Sanford, NC 27332-9509
Phone (910) 635-6324

Other names 1

  • Thalise Vieux-McFarland Other name

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 Arts

State licenses

LicenseStateTypeSpecialty
8621NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1083201289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOUNTAINSIDE LN",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273329509",
            "telephone_number": "910-635-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOUNTAINSIDE LN",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273329509",
            "telephone_number": "910-635-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEUX",
        "first_name": "THALISE",
        "credential": "LMBT, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "8621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THALISE",
            "last_name": "VIEUX-MCFARLAND",
            "credential": "LMBT, MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.