Active NPI
Charlton Thiede, LAC
- Professional Counselor
- Searcy, AR
National Provider Identifier
1013296300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1701224
- Practice address
- 106 S Spring St Ste a
Searcy, AR 72143-7717 - Phone
- (501) 388-9694
- NPI assigned
- Aug 4, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1701224 | AR | Primary |
Addresses
Primary practice location
106 S Spring St Ste a
Searcy, AR 72143-7717
Mailing address
403 S Poplar St
Suite a
Searcy, AR 72143-6017
Phone (501) 279-9220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1701224 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1013296300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S POPLAR ST",
"address_2": "SUITE A",
"city": "SEARCY",
"state": "AR",
"postal_code": "721436017",
"telephone_number": "501-279-9220",
"fax_number": "501-279-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 S SPRING ST STE A",
"city": "SEARCY",
"state": "AR",
"postal_code": "721437717",
"telephone_number": "501-388-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEDE",
"first_name": "CHARLTON",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-04",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1701224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.