Individual provider Active NPI

Laurie Danae Thein, LMHC

  • Mental Health Counselor
  • Fredericksburg, IA
National Provider Identifier
1386811321
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00725 Issued in IA
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0203580MedicaidIA
1203580MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627001786 IA Practitioner - Mental Health Counselor 9537517826 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Thein Therapy LLC Mental Health CurrentSince May 13, 2024 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

Verify at the official NPI Registry.