Individual provider Active NPI

Carlton Eugene Thorne Sr., 00101781

  • Professional Counselor
  • East Point, GA
National Provider Identifier
1740513852
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
00101781 Issued in VA
Practice address
2675 N Martin St
BLDG. 700, Suite a
East Point, GA 30344-6981
Phone
(404) 321-6111
Fax
(404) 327-4028
NPI assigned
Sep 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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 00101781 VA Primary

Addresses

Primary practice location

2675 N Martin St
BLDG. 700, Suite a
East Point, GA 30344-6981

Mailing address

2675 N Martin St
BLDG. 700, Suite a
East Point, GA 30344-6981
Phone (404) 321-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00101781VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1740513852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N MARTIN ST",
            "address_2": "BLDG. 700, SUITE A",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446981",
            "telephone_number": "404-321-6111",
            "fax_number": "404-327-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N MARTIN ST",
            "address_2": "BLDG. 700, SUITE A",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446981",
            "telephone_number": "404-321-6111",
            "fax_number": "404-327-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "CARLTON",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "00101781",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "00101781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.