Andrea Theis

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1445 Research Blvd Ste 100
Rockville, MD 20850-6130

Phone

(240) 552-5808

NPI assigned

Apr 9, 2025

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cornerstone Montgomery, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
  • NPI 1134591985
  NPD
• Cornerstone Montgomery, Inc.

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1174995781
  NPD
• Cornerstone Montgomery, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bethesda, MD
  • NPI 1194725739
  NPD

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1467247783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 RESEARCH BLVD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506130",
            "telephone_number": "240-552-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 RESEARCH BLVD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506130",
            "telephone_number": "240-552-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIS",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Village Pediatric & Wellness Center
• The Village Youth & Family Center, Inc. (Vikara Village)
• The Wellness Joint LLC.
• The Yohannes Center of Excellence and Advanced Learning LLC (Tyc)
• Marjorie Theard, LGSW
• Kristen Jean Theiss, M.A., CCC-SLP
• Maraki Theodros
• Theracom
• Theracom LLC
• Theracom, LLC (TheraCom)

• Student in an Organized Health Care Education/Training Program in Rockville, MD
• Providers in Rockville, MD by specialty
• Student in an Organized Health Care Education/Training Program in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.