Eleanor Kelsey Martin Thompson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001513 Issued in GA

Practice address

1287 Marks Church Rd Ste E2
Augusta, GA 30909-6330

Phone

(706) 426-1913

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eleanor Kelsey Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1427206580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 MARKS CHURCH RD STE E2",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096330",
            "telephone_number": "706-426-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 MARKS CHURCH RD STE E2",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096330",
            "telephone_number": "706-426-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELEANOR",
        "middle_name": "KELSEY MARTIN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001513",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "AMFT000220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121328",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "MARTIN",
            "middle_name": "KELSEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aspen Mutimer Thompson
• Barry Lane Thompson, M.D.
• Bernadette Thompson, LPC
• Bradford Thompson, DMD
• Demisha Thompson, BCBA
• Erica Thompson, MD
• Geoffrey Allen Thompson, DDS, MS
• James Thompson
• Janiece Aaleeya Thompson
• Karen Mizzi Thompson, OTR/L

• Marriage & Family Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.