Wake Forest Peace of Mind, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WAKE FOREST PEACE OF MIND, PLLC

Practice address

10520 Ligon Mill Rd Ste 100F
Wake Forest, NC 27587-4586

Phone

(919) 602-5518

NPI assigned

Oct 3, 2019

Last updated

Oct 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne B. Thompson, LPCNPI 1609953793

Title

Owner

Phone

(919) 602-5518

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1609953793
  NPD Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1851932586",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 LIGON MILL RD STE 100F",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874586",
            "telephone_number": "919-602-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST PEACE OF MIND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-602-5518",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wake Forest Counseling Services, Inc.
• Wake Forest Drug Inc (Wake Forest Drug)
• Wake Forest Family Eye Care, O.D., P.a.
• Wake Forest Internal Medicine and Primary Care
• Wake Forest Optometry PA (Eye Care Center)
• Wake Forest Pediatric Associates, PLLC
• Wake Forest Performance and Rehab
• Wake Forest Physical Therapy (Elite Ortho Physical Therapy)
• Wake Forest Speech Therapy
• Wake Forest Urgent Care, PLLC

• Mental Health Counselor in Wake Forest, NC
• Providers in Wake Forest, 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 Oct 3, 2019; 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.