Active NPI
Laurie Danae Thein, LMHC
- Mental Health Counselor
- Fredericksburg, IA
National Provider Identifier
1386811321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00725
- Practice address
- 123 E Main St
Fredericksburg, IA 50630-7701 - Phone
- (563) 237-5157
- Fax
- (319) 865-3110
- NPI assigned
- May 9, 2008
- Last updated
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00725 | IA | Primary |
Addresses
Primary practice location
123 E Main St
Fredericksburg, IA 50630-7701
Mailing address
123 E Main St
PO Box 155
Fredericksburg, IA 50630-7701
Phone (563) 237-5157
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0203580 | Medicaid | IA | |
| 1203580 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
123 E Main St
Fredericksburg, IA 50630-7701
Phone (563) 237-5157
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thein Therapy LLC | Mental Health | Current | 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, 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": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1386811321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E MAIN ST",
"address_2": "PO BOX 155",
"city": "FREDERICKSBURG",
"state": "IA",
"postal_code": "506307701",
"telephone_number": "563-237-5157",
"fax_number": "319-865-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E MAIN ST",
"city": "FREDERICKSBURG",
"state": "IA",
"postal_code": "506307701",
"telephone_number": "563-237-5157",
"fax_number": "319-865-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEIN",
"first_name": "LAURIE",
"middle_name": "DANAE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "00725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0203580",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1203580",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.