MS. SYDNELL DENISE THOMPSON (NPI# 1982777900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982777900 |
| Entity Type | Individual |
| Full Name | MS. SYDNELL DENISE THOMPSON |
| Credential | LCAS, LPC, CCS |
| Practice Address |
104 New Stateside Drive Chapel Hill NC 27516 |
| Practice Telephone | 9192477011 |
| Mailing Telephone | 9192477011 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2015-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
399 | NC | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
865 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
7884 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
7884 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS AND BLUE SHIEL | 142PE | 01 |
| Street Address |
104 NEW STATESIDE DRIVE |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427322932 | Annette Autry-corbett | Counselor | 104 New Stateside Drive, Chapel Hill, NC 27516-1165 | 2012-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599309 | Brandon Ali Koroni | Dentist | 385 S Columbia St., Chapel Hill, NC 27516 | 2019-10-11 |
| 1225512718 | Brian Pietrosimone | Specialist/Technologist | University of North Carolina 209 Fetzer Hall, Chapel Hill, NC 27516 | 2018-09-20 |
| 1639691553 | Alexander S. Arab, Dba, Ims Evals, LLC | Physical Therapist | 103 Springhill Forest Place, Chapel Hill, NC 27516 | 2017-07-12 |
| 1730618000 | William E Sanders | Physical Therapist | 205 Weyer Dr., Chapel Hill, NC 27516 | 2017-06-08 |
| 1700336955 | Chatham Pediatric Dentistry | Dentist | 79 Falling Springs Dr., Suite 120, Chapel Hill, NC 27516 | 2016-10-12 |
| 1295152601 | Chun Xiang Li | Nurse Practitioner | 128 North Fields Circle, Chapel Hill, NC 27516 | 2014-03-24 |
| 1518211705 | Abigail Debra Zeveloff | Counselor | 1209b Hillsborough Rd, Chapel Hill, NC 27516 | 2012-11-09 |
| 1124315411 | Eric James Arehart | Pediatrics | 103 Crofton Springs Pl, Chapel Hill, NC 27516 | 2011-07-07 |
| 1336440312 | Amy Lynn Ford | Physician Assistant | 101 Manning Drive Cb #7160, Chapel Hill, NC 27516 | 2010-11-08 |
| 1689807224 | Natasha Leigh Blazer | Counselor | 110 New Stateside Dr, Chapel Hill, NC 27516 | 2009-08-31 |
| Find all providers in zip 27516 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881907 | Synergy Care and Counseling Pllc | Counselor | 180 Providence Rd Ste 2, Chapel Hill, NC 27514-2206 | 2020-04-27 |
| 1538792817 | Allison Marie Schad | Counselor | 47 Hawk Point Rd, Chapel Hill, NC 27516-9851 | 2020-02-14 |
| 1760978175 | Kayla Chatterton Klemp | Counselor | 264 Medical School Wing D, Chapel Hill, NC 27599-0001 | 2018-07-09 |
| 1548668692 | Rex Mercer | Counselor | 406 New Parkside Dr, Chapel Hill, NC 27516-1163 | 2014-12-05 |
| 1326465337 | Kevin L Weber | Counselor | 1829 E Franklin St Ste 1200c, Chapel Hill, NC 27514-5804 | 2014-03-27 |
| 1356788038 | Katherine Lynn Cooper | Counselor | Infectious Diseases Clinic, Cb#7030; 101 Manning Drive, Chapel Hill, NC 27599-0001 | 2013-06-04 |
| 1518211705 | Abigail Debra Zeveloff | Counselor | 1209b Hillsborough Rd, Chapel Hill, NC 27516 | 2012-11-09 |
| 1902135049 | Michael Harry Santrizos | Counselor | 110 New Stateside Drive, Chapel Hill, NC 27516-1165 | 2009-12-21 |
| 1912233958 | Clayvon Everett | Counselor | 116 New Stateside Drive, Chapel Hill, NC 27516-1165 | 2009-10-27 |
| 1689807224 | Natasha Leigh Blazer | Counselor | 110 New Stateside Dr, Chapel Hill, NC 27516 | 2009-08-31 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27516 |
Please comment or provide details below to improve the information on MS. SYDNELL DENISE THOMPSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.