Active NPI
Kerry-Lynn Suzanne Thomas, M.ED.
- Counselor
- Raleigh, NC
National Provider Identifier
1952499675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5469
- Practice address
- 1055 Dresser CT
Building 2
Raleigh, NC 27609-7323 - Phone
- (919) 876-3130
- Fax
- (919) 876-3134
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5469 | NC | Primary |
Addresses
Primary practice location
1055 Dresser CT
Building 2
Raleigh, NC 27609-7323
Mailing address
113 Abingdon CT Apt 1a
Cary, NC 27513-3244
Phone (919) 771-9285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5469 | Other | NC | LPC LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5469 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1952499675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 ABINGDON CT APT 1A",
"city": "CARY",
"state": "NC",
"postal_code": "275133244",
"telephone_number": "919-771-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 DRESSER CT",
"address_2": "BUILDING 2",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097323",
"telephone_number": "919-876-3130",
"fax_number": "919-876-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KERRY-LYNN",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "5469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE NUMBER",
"identifier": "5469",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.