Kevin E Thompson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004805 Issued in VA

Practice address

8261 Old Tavern Rd
Roanoke, VA 24019-6806

Phone

(540) 774-8258

NPI assigned

Apr 29, 2010

Last updated

Sep 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1902123987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8261 OLD TAVERN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240196806",
            "telephone_number": "540-774-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 OLD TAVERN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240196806",
            "telephone_number": "540-774-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KEVIN",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437137734",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Thompson, PHARM.D
• Jill Susanne Thompson, MPT
• John K Thompson, PA-C, ATC
• Judith Kay Thompson, RPH
• Julie Thompson, LCSW
• Mallory Loraine Thompson, DPT
• Michael S Thompson, D.O.
• Misty J Thompson
• Shayna Lyn Mika Thompson, MSW, LCSW
• Taylor Jo Thompson, LCSW

• Professional Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.