Active NPI
Katie Thompson, M.A.ED., LPC, NCC
- School Counselor
- Winston Salem, NC
National Provider Identifier
1407077001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 5136
- Practice address
- 640 Holly Ave
Winston Salem, NC 27101-2716 - Phone
- (336) 725-3999
- NPI assigned
- May 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5136 | NC | |
| School Counselor | 101YS0200X | 5136 | NC | Primary |
Addresses
Primary practice location
640 Holly Ave
Winston Salem, NC 27101-2716
Mailing address
640 Holly Ave
Winston Salem, NC 27101-2716
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 |
|---|---|---|---|
| 5136 | NC | MD | Oral and Maxillofacial Pathology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Center Inc | Past | Accepting new patients | |
| Trinity Center Inc | Professional | 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 and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Winston Salem, NC
- NPI 1700892478
Professional
-
- Counseling Psychologist
- Winston Salem, NC
- NPI 1780536383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1407077001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 HOLLY AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 HOLLY AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012716",
"telephone_number": "336-725-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KATIE",
"name_prefix": "Mrs.",
"credential": "M.A.ED., LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5136",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NC",
"license": "5136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.