Individual provider Active NPI

Dorothy N Theus, PLPC

  • Professional Counselor
  • Joplin, MO
National Provider Identifier
1245905553
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021029956 Issued in MO
Practice address
3901 E 32ND St
Joplin, MO 64804-3312
Phone
(417) 347-7567
NPI assigned
Aug 10, 2021
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2021029956 MO Primary

Addresses

Primary practice location

3901 E 32ND St
Joplin, MO 64804-3312

Mailing address

PO Box 2526
Joplin, MO 64803-2526
Phone (417) 347-7579

Other names 1

  • Dorothy N Madrigal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213001773 MO Practitioner - Mental Health Counselor 1850740028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ozark CenterGroup PAC ID 4789588088, 38 clinicians

Practice addresses (Care Compare)

3901 E 32ND St
Joplin, MO 64804-3312
Phone (417) 347-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Center CurrentSince Jan 1, 2024 Accepting new patients
Ozark Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1245905553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032526",
            "telephone_number": "417-347-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043312",
            "telephone_number": "417-347-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEUS",
        "first_name": "DOROTHY",
        "middle_name": "N",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021029956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "MADRIGAL",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.