Eden Kristine Thiess

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI4451 Issued in NV

Practice address

3320 N Buffalo Dr Ste 207
Las Vegas, NV 89129-7411

Phone

(702) 659-4825

NPI assigned

Dec 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1104634948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 W WARM SPRINGS RD UNIT 2322",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144303",
            "telephone_number": "502-409-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N BUFFALO DR STE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297411",
            "telephone_number": "702-659-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIESS",
        "first_name": "EDEN",
        "middle_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Thielges
• Beverly Batalla Thielke, APRN
• Bruce M Thielke, PHARMD
• John David Thiemann, LCSW
• Corinne Thies
• Peggy Thiessen
• Michelle Thigpen Watkins
• Jaidan Armiah Thigpen, RN
• Dominique Thigpenn
• Joanne Puan Yin Thio, DO

• All providers in Las Vegas, NV
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.