Anntoinette Evon Thompson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16798 Issued in NC

Practice address

512 Harris Ave
Raeford, NC 28376-3114

Phone

(910) 364-2342

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1457979247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 HARRIS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763114",
            "telephone_number": "910-364-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 HARRIS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763114",
            "telephone_number": "910-364-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Brightwood Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283767258",
            "country_code": "US",
            "telephone_number": "910-688-3542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANNTOINETTE",
        "middle_name": "EVON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": "1217043",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "1217043",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The S.H.E. Company
• Therapeutic Alternatives, Inc.
• Therapeutic Focus, LLC
• Jennifer Michelle Thomas-Townsend
• Thompson DDS PA
• Gabriel John Thompson, PA-C
• Kelsey Jo Thompson
• Mark Stephen Thompson, DDS
• Rose Thompson
• Scott Thompson, PHARMD

• Mental Health Counselor in Raeford, NC
• Providers in Raeford, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.