Individual provider Active NPI

Suzan K Thompson, PH.D., LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1487013249
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002375 Issued in VA
Practice address
1008 Old Virginia Beach Rd Ste 100
Virginia Beach, VA 23451-5564
Phone
(757) 422-2118
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 0701002375 VA Primary

Addresses

Primary practice location

1008 Old Virginia Beach Rd Ste 100
Virginia Beach, VA 23451-5564

Mailing address

440 E Main St
Wytheville, VA 24382-2328
Phone (757) 569-9357

Other practice location 1

3630 S Plaza Trl Ste 150A
Virginia Beach, VA 23452-3371
Phone (757) 306-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250116001844 VA Practitioner - Mental Health Counselor 4587192604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Virginia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimberly Brodie and Assoc., IncGroup PAC ID 1951372853, 3 clinicians

Practice addresses (Care Compare)

933 1St Colonial Rd
Suite 203
Virginia Beach, VA 23454-3172
Phone (757) 422-2118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701002375VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Brodie & Assoc., Inc CurrentSince Nov 25, 2024 Accepting new patients
Quantum Healing Works, Inc Professional CurrentSince Jun 9, 2024 Accepting new patients

Locations

1008 Old Virginia Beach Rd
Ste 10
Virginia Beach, VA 23451

1008 Old Virginia Beach Rd
Ste 100
Virginia Beach, VA 23451
Phone (757) 422-2118

Organizations & group practices 2

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1487013249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E MAIN ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822328",
            "telephone_number": "757-569-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 OLD VIRGINIA BEACH RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515564",
            "telephone_number": "757-422-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 S Plaza Trl Ste 150A",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234523371",
            "country_code": "US",
            "telephone_number": "757-306-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SUZAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.