Individual provider Active NPI

Emelia Thygesen, LMHC

  • Mental Health Counselor
  • Syracuse, NY
National Provider Identifier
1427610567
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006462 Issued in NY
Practice address
1025 Erie Blvd W
Syracuse, NY 13204-2749
Phone
(315) 472-7363
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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 006462 NY Primary

Addresses

Primary practice location

1025 Erie Blvd W
Syracuse, NY 13204-2749

Mailing address

620 Erie Blvd W
Syracuse, NY 13204-2445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 8, 2023 through Dec 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006462NYMDAcupuncturist
15567NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Onondaga Case Management Services Inc. Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1427610567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 ERIE BLVD W",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ERIE BLVD W",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042749",
            "telephone_number": "315-472-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYGESEN",
        "first_name": "EMELIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.