Suzanne Ballard Thompson, M.S., M.A., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3410 Issued in NC

Practice address

5816 Creedmoor Rd
Ste 205
Raleigh, NC 27612-2310

Phone

(919) 602-5518

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

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.

• Wake Forest Peace of Mind, PLLC

  • Mental Health Counselor
  • Wake Forest, NC
  • NPI 1851932586
  NPD Authorized official
• Suzanne Ballard Thompson

  • Professional Counselor
  • Wake Forest, NC
  • NPI 1841424827
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609953793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 AURORA LN",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "275258375",
            "telephone_number": "919-602-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 CREEDMOOR RD",
            "address_2": "STE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122310",
            "telephone_number": "919-602-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SUZANNE",
        "middle_name": "BALLARD",
        "name_prefix": "Mrs.",
        "credential": "M.S., M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102199",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Thompson
• Pamela Denise Thompson, PHD
• Piragio Thompson, QP, CPSS
• Stephanie Thompson, MS, CCC-SLP
• Susan S Thompson, DDS
• Taylor Thompson, PHARMD
• Taylor Thompson
• Teresa Anne Thompson, RD
• Tiffany Thompson
• Timothy B Thompson, MD

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Jul 8, 2007; 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.