Cheryll Ann Thompson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

007542 Issued in GA

Practice address

700 Old Roswell Lakes Pkwy
Suite 300
Roswell, GA 30076-1612

Phone

(404) 218-9213

Fax

(678) 807-5269

NPI assigned

Aug 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Cheryll Ann Thompson LPC LLC

  • Professional Counselor
  • Roswell, GA
  • NPI 1962878892
  NPD Authorized official

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1952777872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PKWY STE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761612",
            "telephone_number": "404-218-9213",
            "fax_number": "678-807-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PKWY",
            "address_2": "SUITE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761612",
            "telephone_number": "404-218-9213",
            "fax_number": "678-807-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHERYLL",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "GA",
            "license": "007542",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "007542",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "007542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1962878892",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lover S Thomas
• Natasha J. Thomas, MD
• Stella Royette Thomas
• Steven Thomas
• Laurel Elizabeth Thomason
• Jenny T Thompson, PT
• Katie Elaine Thompson, NP
• Randall Linton Thornton, R.P.H
• THS Atlanta, LLC (Thrive Health Systems)
• Gowri Padma Mounica Thummala, MD

• Professional Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.