Individual provider Active NPI

Mary Noel Thompson, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1124636436
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75815 Issued in TX
Practice address
2001 Payne Ave # B
Austin, TX 78757-3205
Phone
(512) 850-7035
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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 75815 TX Primary

Addresses

Primary practice location

2001 Payne Ave # B
Austin, TX 78757-3205

Mailing address

PO Box 49045
Austin, TX 78765-9045
Phone (512) 850-7035

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL thompsonmarynoelcounseling@gmail.com Direct
CONNECT URL thompsonmarynoelcounseling@gmail.com
CONNECT URL https://www.psychologytoday.com/us/therapists/marynoel-thompson-austin-tx/708791

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

LicenseStateTypeSpecialty
75815TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1124636436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49045",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787659045",
            "telephone_number": "512-850-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PAYNE AVE # B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787573205",
            "telephone_number": "512-850-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARY NOEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thompsonmarynoelcounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2001 Payne Ave # B",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787573205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thompsonmarynoelcounseling@gmail.com",
            "affiliation": "N",
            "address_1": "2001 Payne Ave # B",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787573205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/marynoel-thompson-austin-tx/708791",
            "affiliation": "N",
            "address_1": "2001 Payne Ave # B",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787573205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

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