Active NPI
Roberta Waller Thompson, EDD, LPC
- Professional Counselor
- Richmond, VA
National Provider Identifier
1184343543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 7409 Tanglewood Rd
Richmond, VA 23225-1521 - Phone
- (804) 893-0250
- NPI assigned
- Aug 26, 2022
- Last updated
- Aug 26, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
7409 Tanglewood Rd
Richmond, VA 23225-1521
Mailing address
7409 Tanglewood Rd
Richmond, VA 23225-1521
Phone (804) 893-0250
Other practice location 1
6960 Forest Hill Ave Suite 2
Richmond VA 23225
Richmond, VA 23225
Phone (804) 893-0250
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1184343543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7409 TANGLEWOOD RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232251521",
"telephone_number": "804-893-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7409 TANGLEWOOD RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232251521",
"telephone_number": "804-893-0250"
}
],
"practiceLocations": [
{
"address_1": "6960 Forest Hill Ave Suite 2",
"address_2": "Richmond VA 23225",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "23225",
"country_code": "US",
"telephone_number": "804-893-0250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "ROBERTA",
"middle_name": "WALLER",
"name_prefix": "Dr.",
"credential": "EDD, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.