Active NPI
Susan Martha Thompson, LPC
- Professional Counselor
- Honesdale, PA
National Provider Identifier
1104120872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005700
- Practice address
- 61 Commercial St Suites G & H
Honesdale, PA 18431-8003 - Phone
- (570) 352-4997
- NPI assigned
- Jan 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PC005700 | PA | Primary |
Addresses
Primary practice location
61 Commercial St Suites G & H
Honesdale, PA 18431-8003
Mailing address
61 Commercial St. Suites G & H
Honesdale, PA 18431-8003
Phone (570) 352-4997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC005700 | Other | PA | PROFESSIONAL COUNSELOR LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC005700 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1104120872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 COMMERCIAL ST. SUITES G & H",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184318003",
"telephone_number": "570-352-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 COMMERCIAL ST SUITES G & H",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184318003",
"telephone_number": "570-352-4997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SUSAN",
"middle_name": "MARTHA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL COUNSELOR LICENSE",
"identifier": "PC005700",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.