Timothy Theye, LCSW, LMHC, LCAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004130A Issued in IN

Practice address

2314 Lake Ave Ste B
Fort Wayne, IN 46805-5439

Phone

(260) 450-6068

Fax

(260) 422-4309

NPI assigned

Oct 22, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• A Brighter Future, LLC

  • Professional Counselor
  • Fort Wayne, IN
  • NPI 1851672232
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1346540556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 LAKE AVE STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055439",
            "telephone_number": "260-450-6068",
            "fax_number": "260-422-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 LAKE AVE STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055439",
            "telephone_number": "260-450-6068",
            "fax_number": "260-422-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEYE",
        "first_name": "TIMOTHY",
        "credential": "LCSW, LMHC, LCAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004130A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Theobald, MD
• Therapeutic Mobility Services Inc
• Therapy Link Group, LLC
• Therapy Link LLC
• Therese C Mihlbauer, PH.D., Inc
• Emilie Thieme
• Teresa Marie Thieme, RN
• Thomandram Sekar, MD, PC
• Thomas Chiropractic
• Thomas International, Inc.

• Clinical Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.