Individual provider Active NPI

Audrey Thien, MA, LPC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1295316834
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2109 S Norton Ave
Sioux Falls, SD 57105-3730
Phone
(605) 334-2696
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 20600 SD
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2109 S Norton Ave
Sioux Falls, SD 57105-3730

Mailing address

2109 S Norton Ave
Sioux Falls, SD 57105-3730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20240811000059 SD Practitioner - Mental Health Counselor 6507304466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North American Baptist SeminaryGroup PAC ID 8628979721, 21 clinicians

Practice addresses (Care Compare)

2109 S Norton Ave
Sioux Falls, SD 57105-3730
Phone (605) 334-2696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
20600SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North American Baptist Seminary CurrentSince Jun 23, 2024 Accepting new patients
North American Baptist Seminary CurrentSince Jun 23, 2024 Accepting new patients

Locations

2109 S Norton Ave
Sioux Falls, SD 57105
Phone (605) 334-2696

4300 S Louise Ave
Ste 201
Sioux Falls, SD 57106
Phone (605) 334-7713

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1295316834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 S NORTON AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 S NORTON AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053730",
            "telephone_number": "605-334-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEN",
        "first_name": "AUDREY",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "20600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.