Individual provider Active NPI

Thomas Erik Bjorlie, LPCA

  • Professional Counselor
  • Hickory, NC
National Provider Identifier
1578020855
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A14614 Issued in NC
Practice address
327 1St Ave NW
Hickory, NC 28601-6122
Phone
(828) 695-5900
Fax
(828) 695-4256
NPI assigned
Feb 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A14614 NC
Professional Counselor 101YP2500X A14614 NC Primary

Addresses

Primary practice location

327 1St Ave NW
Hickory, NC 28601-6122

Mailing address

109 Circle CT
Morganton, NC 28655-4452
Phone (336) 870-9611

Other practice location 1

109 Circle Ct
Morganton, NC 28655-4452
Phone (336) 870-9611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231219001005 NC Practitioner - Mental Health Counselor 1557711488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Mental Health Fund IncGroup PAC ID 2264498344, 19 clinicians

Practice addresses (Care Compare)

327 1St Ave NW
Hickory, NC 28601-6122
Phone (828) 695-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A14614NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Fund Inc Mental Health Current Accepting new patients
The Mental Health Fund Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

327 1st Ave NW
Hickory, NC 28601
Phone (828) 695-2125

20 4th St SW
Hickory, NC 28602

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1578020855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CIRCLE CT",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554452",
            "telephone_number": "336-870-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 1ST AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016122",
            "telephone_number": "828-695-5900",
            "fax_number": "828-695-4256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Circle Ct",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554452",
            "country_code": "US",
            "telephone_number": "336-870-9611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BJORLIE",
        "first_name": "THOMAS",
        "middle_name": "ERIK",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-22",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14614",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.