Individual provider Active NPI

Erin Sarah Thompson

  • Mental Health Counselor
  • Waxhaw, NC
National Provider Identifier
1356941942
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A1561 Issued in NC
Practice address
7314 Yellowhorn TRL
Waxhaw, NC 28173-7465
Phone
(704) 681-3243
NPI assigned
Nov 1, 2020
Last updated
May 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1561 NC Primary
Professional Counselor 101YP2500X A15611 NC

Addresses

Primary practice location

7314 Yellowhorn TRL
Waxhaw, NC 28173-7465

Mailing address

7314 Yellowhorn TRL
Waxhaw, NC 28173-7465
Phone (704) 681-3243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 23, 2025 through May 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1561NCMDMental Health Counselor
A15611NCMDProfessional Counselor
15611NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sparc Network Professional PastSince Nov 1, 2020 Accepting new patients
Rock of Refuge Mental Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1356941942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7314 YELLOWHORN TRL",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737465",
            "telephone_number": "704-681-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7314 YELLOWHORN TRL",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737465",
            "telephone_number": "704-681-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ERIN",
        "middle_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A1561",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

Verify at the official NPI Registry.