Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William Thomas Gordon Etheridge

Individual provider Mental Health Counselor · NPI 1205466885

William Thomas Gordon Etheridge is a Mental Health Counselor in Raleigh, North Carolina. Qualified in 2019, 7 years ago. Practices with Thriveworks Clinical - North Carolina PC, a 111-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
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Practice location Partly verified

Some contact details are missing from the federal record.

Thriveworks 8406 Six Forks Rd Ste 104
Raleigh, NC 27615
Phone: (919) 642-4857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 122 Masondale Ave, Durham, NC 27707-3152 — (919) 308-7306

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 15542 (NC)

Record details

NPI number1205466885
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Thriveworks Clinical - North Carolina Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Raleigh