Individual provider Active NPI

Lecia Thompson, LPC

  • Professional Counselor
  • Newport News, VA
National Provider Identifier
1740834936
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008500 Issued in VA
Practice address
11830 Canon Blvd Ste C
Newport News, VA 23606-2568
Phone
(757) 921-8377
Fax
(757) 210-3707
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 0701008500 VA Primary

Addresses

Primary practice location

11830 Canon Blvd Ste C
Newport News, VA 23606-2568

Mailing address

11830 Canon Blvd Ste C
Newport News, VA 23606-2568
Phone (757) 921-8377

Other practice location 1

9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162
Phone (804) 693-5057

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
I20240307000644 VA Practitioner - Mental Health Counselor 7214373760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Peninsula Northern Neck Mental Health & Retardation CurrentSince Jan 1, 2024 Accepting new patients
Middle Peninsula-Northern Neck Mental Health and Mental Retardation CurrentSince Jan 1, 2024 Accepting new patients

Locations

9228 George Washington Memorial Hwy
Gloucester, VA 23061
Phone (804) 693-5057

1041 Sharon Rd
Ste 201
King William, VA 23086
Phone (804) 769-2751

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1740834936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 CANON BLVD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062568",
            "telephone_number": "757-921-8377",
            "fax_number": "757-210-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 CANON BLVD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062568",
            "telephone_number": "757-921-8377",
            "fax_number": "757-210-3707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9228 George Washington Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230614162",
            "country_code": "US",
            "telephone_number": "804-693-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LECIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.