Individual provider Active NPI

Veronica Thelen, MS/LLMFT

  • Marriage & Family Therapist
  • East Lansing, MI
National Provider Identifier
1154565331
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006338 Issued in MI
Practice address
5031 Park Lake Rd
East Lansing, MI 48823-3835
Phone
(517) 332-0811
Fax
(517) 332-4452
NPI assigned
May 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006338 MI Primary

Addresses

Primary practice location

5031 Park Lake Rd
East Lansing, MI 48823-3835

Mailing address

608 W Walker St
Saint Johns, MI 48879-1463
Phone (989) 292-1676

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4101006338MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Professional Psychological Consultants PastSince Feb 1, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1154565331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W WALKER ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791463",
            "telephone_number": "989-292-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 PARK LAKE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233835",
            "telephone_number": "517-332-0811",
            "fax_number": "517-332-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEN",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "MS/LLMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.