Active NPI
Thea Hofstad
- Professional Counselor
- Rochester, MN
National Provider Identifier
1437849403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3839
- Practice address
- 4600 18TH Ave NW
Rochester, MN 55901-2116 - Phone
- (507) 287-2010
- Fax
- (507) 287-7805
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 3839 | MN | Primary |
Addresses
Primary practice location
4600 18TH Ave NW
Rochester, MN 55901-2116
Mailing address
4600 18TH Ave NW
Rochester, MN 55901-2116
Phone (507) 287-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4600 18TH Ave NW
Rochester, MN 55901-2116
Phone (507) 287-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3839 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Rochester, Inc | Current | Accepting new patients |
Locations
4600 18th Ave NW
Rochester, MN 55901
Phone (507) 287-2010
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rochester, MN
- NPI 1275746083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1437849403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 18TH AVE NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012116",
"telephone_number": "507-287-2010",
"fax_number": "507-287-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 18TH AVE NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012116",
"telephone_number": "507-287-2010",
"fax_number": "507-287-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFSTAD",
"first_name": "THEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "3839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.