Blake Elizabeth Thompson, ADC-IP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADC-IP2840 Issued in SC

Practice address

1607 Executive Ave
Myrtle Beach, SC 29577-6501

Phone

(843) 712-7316

Fax

(843) 954-1022

NPI assigned

Sep 24, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Blake Harshman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1417860156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 EXECUTIVE AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776501",
            "telephone_number": "843-712-7316",
            "fax_number": "843-954-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BLAKE",
        "middle_name": "ELIZABETH",
        "credential": "ADC-IP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "ADC-IP2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAKE",
            "last_name": "HARSHMAN",
            "credential": "ADC-IP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Naketa Thomas, M.D
• Natalia Thomas, M.D.
• Paige Thomas, NP
• Tiara Thomas
• Tracy Thomas
• Ellie Thompson, PHARM.D.
• Frances Lindsay Thompson, PSYD
• Joel R Thompson, MD
• Karen Thompson, APRN WHNP
• Kenneth Arthur Thompson, DO

• Addiction (Substance Use Disorder) Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.