Individual provider Active NPI

Susan E Thyng

  • Professional Counselor
  • Morganton, NC
National Provider Identifier
1437752078
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14760 Issued in NC
Practice address
301 E Meeting St
Morganton, NC 28655-3593
Phone
(828) 437-3000
Fax
(828) 437-4999
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26858 NC
Mental Health Counselor 101YM0800X 14760 NC
Professional Counselor 101YP2500X 14760 NC Primary

Addresses

Primary practice location

301 E Meeting St
Morganton, NC 28655-3593

Mailing address

301 E Meeting St
Morganton, NC 28655-3593
Phone (828) 437-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412002032 FL Practitioner - Mental Health Counselor 4082053897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emdr Trauma Therapy Center LLCGroup PAC ID 8123470192, 5 clinicians

Practice addresses (Care Compare)

4609 US Hwy 17
Suite 1
Fleming Island, FL 32003-4818
Phone (904) 375-2353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26858NCMDAddiction (Substance Use Disorder) Counselor
14760NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emdr Trauma Therapy Center LLC Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

4609 US Highway 17
Ste 1
Fleming Isle, FL 32003
Phone (904) 375-2353

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1437752078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E MEETING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553593",
            "telephone_number": "828-437-3000",
            "fax_number": "828-437-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MEETING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553593",
            "telephone_number": "828-437-3000",
            "fax_number": "828-437-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYNG",
        "first_name": "SUSAN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26858",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14760",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.