Active NPI
Deborah Thoennes, LPC
- Professional Counselor
- Spooner, WI
National Provider Identifier
1124451174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5260-125
- Practice address
- 522 Service Rd
Spooner, WI 54801 - Phone
- (715) 939-9555
- Fax
- (715) 653-6241
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 5260-125 | WI | Primary |
Addresses
Primary practice location
522 Service Rd
Spooner, WI 54801
Mailing address
PO Box 731
Spooner, WI 54801-0731
Phone (715) 520-7473
Other practice location 1
811 E Washington Ave
Madison, WI 53703-3688
Phone (323) 205-7088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124451174 | Medicaid | WI |
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 |
|---|---|---|---|
| 5260-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1124451174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731",
"city": "SPOONER",
"state": "WI",
"postal_code": "548010731",
"telephone_number": "715-520-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 SERVICE RD",
"city": "SPOONER",
"state": "WI",
"postal_code": "54801",
"telephone_number": "715-939-9555",
"fax_number": "715-653-6241"
}
],
"practiceLocations": [
{
"address_1": "811 E Washington Ave",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537033688",
"country_code": "US",
"telephone_number": "323-205-7088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOENNES",
"first_name": "DEBORAH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5260-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124451174",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spooner, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.