Kimberley Michelle Thornburg, MA, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7497 Issued in SC

Practice address

1 Chick Springs Rd
Greenville, SC 29609-4946

Phone

(910) 434-4970

Fax

(866) 813-6192

NPI assigned

Aug 10, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Selah Behavioral Healthcare LLC

  • Mental Health Counselor
  • Rock Hill, SC
  • NPI 1609351287
  NPD Authorized official

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1942938618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 WOOLWINE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282788843",
            "telephone_number": "828-855-8170",
            "fax_number": "803-459-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094946",
            "telephone_number": "910-434-4970",
            "fax_number": "866-813-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBURG",
        "first_name": "KIMBERLEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "MA, LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Pasquali Thompson, MD
• Sarah Kim Thompson, O.T.
• Shelby Thompson, RN
• Coben David Thorn, M.D.
• John G. Thornburg, MD
• Thorne Ambulance Service LLC
• Kathryn Hilovsky Thorne, PA-C, MPAS, MS
• Candice A Thornton, M.D.
• Corynne Thornton, RBT
• Dylan Louise Thorp, SLP

• Professional Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.