Devin Oralea Thompson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC015360 Issued in GA

Practice address

145 Church St NE Ste 105
Marietta, GA 30060-1620

Phone

(404) 618-6955

NPI assigned

Nov 17, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Behavioral Health & Wellness, LLC

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1841734878
  Medicare reassignment NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1912616020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CHURCH ST NE STE 105",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CHURCH ST NE STE 105",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601620",
            "telephone_number": "404-618-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DEVIN",
        "middle_name": "ORALEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC015360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105733390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Terrence Thomas Jr., DO
• Stacy-Ann Thompson-Grant, LMSW
• Alexandra Thompson
• Audrey Kathleen Thompson, RN, IBCLC, CCE
• Caroline Elizabeth Thompson
• Elizabeth A. Thompson, CRNA
• Jordan Thompson, M.D.
• Kalonice Thompson
• Kennedi Thompson, RBT
• Leslie Walker Thompson, PA-C

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.