Individual provider Active NPI

Erin M Thompson, LCSW

  • Mental Health Counselor
  • Rochester, NY
National Provider Identifier
1932345352
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
078844 Issued in NY
Practice address
1415 Monroe Ave
Rochester, NY 14618-1007
Phone
(585) 760-4981
Fax
(585) 262-3325
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 072895-1 NY
Mental Health Counselor 101YM0800X 078844 NY Primary

Addresses

Primary practice location

1415 Monroe Ave
Rochester, NY 14618-1007

Mailing address

1415 Monroe Ave
Rochester, NY 14618-1007
Phone (585) 760-4981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120223000579 NY Practitioner - Clinical Social Worker 3870751787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

421 Penbrooke Dr
Suite 11B
Penfield, NY 14526-2045
Phone (585) 760-4981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072895-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Behavioral Health Network, Inc. CurrentSince Jan 5, 2012 Accepting new patients
Rochester General Hospital CurrentSince Jan 21, 2012 Accepting new patients

Locations

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1932345352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181007",
            "telephone_number": "585-760-4981",
            "fax_number": "585-262-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181007",
            "telephone_number": "585-760-4981",
            "fax_number": "585-262-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ERIN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072895-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "078844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.