Individual provider Active NPI

Mercedes Thiessen

  • Professional Counselor
  • Hackettstown, NJ
National Provider Identifier
1265301527
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01202300 Issued in NJ
Practice address
1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003
Phone
(908) 246-1480
NPI assigned
Nov 4, 2025
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 37PC01202300 NJ Primary

Addresses

Primary practice location

1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003

Mailing address

1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003
Phone (908) 246-1480

Other names 1

  • Mercedes Hennings Former name

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

LicenseStateTypeSpecialty
37PC01202300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Schaffer, LLC Professional CurrentSince Nov 9, 2025 Accepting new patients

Locations

1 Edgeview Dr
Ste 2B
Hackettstown, NJ 07840
Phone (908) 224-0838

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, 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": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1265301527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEVIEW DR STE 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404003",
            "telephone_number": "908-246-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGEVIEW DR STE 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404003",
            "telephone_number": "908-246-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIESSEN",
        "first_name": "MERCEDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01202300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "HENNINGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.