Individual provider Active NPI

Susan Thomas

  • Mental Health Counselor
  • Black Mountain, NC
National Provider Identifier
1740604370
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20410 Issued in NC
Practice address
80 Lake Eden Rd
Black Mountain, NC 28711-8706
Phone
(512) 576-1938
NPI assigned
Feb 18, 2014
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20410 NC Primary
Professional Counselor 101YP2500X NC
Marriage & Family Therapist 106H00000X 201278 TX

Addresses

Primary practice location

80 Lake Eden Rd
Black Mountain, NC 28711-8706

Mailing address

100 Billingsley Rd
Charlotte, NC 28211-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240212004154 TX Practitioner - Mental Health Counselor 0244673747 Reassigns benefits to 1 organization
I20250330000064 NC Practitioner - Mental Health Counselor 0244673747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20410TXMDProfessional Counselor
201278TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Jan 1, 2024 Accepting new patients
Anuvia Prevention & Recovery, Center, Inc. Mental Health CurrentSince Oct 24, 2024 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Anuvia Prevention and Recovery Center, Inc Past Accepting new patients

Locations

100 Billingsley Rd
Charlotte, NC 28211
Phone (704) 376-7447

429 Billingsley Rd
Charlotte, NC 28211
Phone (704) 336-2023

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

1717 W 10th St
Austin, TX 78703
Phone (512) 472-3142

Organizations & group practices 4

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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1740604370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LAKE EDEN RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287118706",
            "telephone_number": "512-576-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "20410",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.