Active NPI
Cynthia Lee Thelen, LCPC
- Professional Counselor
- Oak Brook, IL
National Provider Identifier
1407968076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180005530
- Practice address
- 1010 Jorie Blvd Ste 364
Oak Brook, IL 60523-3000 - Phone
- (630) 530-0405
- Fax
- (630) 530-0405
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180005530 | IL | Primary |
Addresses
Primary practice location
1010 Jorie Blvd Ste 364
Oak Brook, IL 60523-3000
Mailing address
1010 Jorie Blvd Ste 364
Oak Brook, IL 60523-3000
Phone (630) 530-0405
Other names 1
- Cindy Thelen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 28, 2024 through Mar 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180005530 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1407968076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 JORIE BLVD STE 364",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605233000",
"telephone_number": "630-530-0405",
"fax_number": "630-530-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 JORIE BLVD STE 364",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605233000",
"telephone_number": "630-530-0405",
"fax_number": "630-530-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THELEN",
"first_name": "CYNTHIA",
"middle_name": "LEE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180005530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CINDY",
"last_name": "THELEN",
"credential": "LCPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.