Individual provider Active NPI

Michelle Quick Thompson, LPC

  • Professional Counselor
  • Vienna, VA
National Provider Identifier
1740537877
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004806
Practice address
8130 Boone Blvd
Suite 250
Vienna, VA 22182-2666
Phone
(703) 831-8300
Fax
(703) 636-1300
NPI assigned
Aug 8, 2012
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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 0701004806 Primary

Addresses

Primary practice location

8130 Boone Blvd
Suite 250
Vienna, VA 22182-2666

Mailing address

3323 Hemlock Farms
Hawley, PA 18428-9115
Phone (703) 831-8300

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
I20250331001912 VA Practitioner - Mental Health Counselor 0446773402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henrico Area Mental Heatlh and Developmental ServicesGroup PAC ID 8022004811, 30 clinicians

Practice addresses (Care Compare)

2010 Bremo Rd
Suite 122
Richmond, VA 23226-2444
Phone (804) 727-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henrico Area Mental Heatlh and Developmental Services CurrentSince Jan 13, 2025 Accepting new patients
Granato Group, Inc. Professional Past Accepting new patients

Locations

10299 Woodman Rd
Glen Allen, VA 23060
Phone (804) 261-8571

9403 Pocahontas Trl
Providence Forge, VA 23140
Phone (804) 966-5959

2010 Bremo Rd
Ste 122
Richmond, VA 23226
Phone (804) 727-8500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1740537877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 HEMLOCK FARMS",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184289115",
            "telephone_number": "703-831-8300",
            "fax_number": "703-636-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 BOONE BLVD",
            "address_2": "SUITE 250",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822666",
            "telephone_number": "703-831-8300",
            "fax_number": "703-636-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHELLE",
        "middle_name": "QUICK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "0701004806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.