Individual provider Active NPI

Patricia Rae Thornes, LPC

  • Professional Counselor
  • Suffolk, VA
National Provider Identifier
1447415716
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004032 Issued in VA
Practice address
5268 Godwin Blvd
Suffolk, VA 23434-8114
Phone
(757) 255-2662
Fax
(757) 255-7115
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004032 VA Primary

Addresses

Primary practice location

5268 Godwin Blvd
Suffolk, VA 23434-8114

Mailing address

5268 Godwin Blvd
Suffolk, VA 23434-8114
Phone (757) 255-2662

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Tidewater Community Mental CurrentSince Feb 14, 2025 Accepting new patients

Locations

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 297-6746

1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117

135 S Saratoga St
Suffolk, VA 23434
Phone (757) 635-2278

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

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, 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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1447415716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5268 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348114",
            "telephone_number": "757-255-2662",
            "fax_number": "757-255-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5268 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348114",
            "telephone_number": "757-255-2662",
            "fax_number": "757-255-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNES",
        "first_name": "PATRICIA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.