Individual provider Active NPI

Dina Kay Thistlethwaite, MA

  • Mental Health Counselor
  • Charleston, WV
National Provider Identifier
1497848139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1225 Issued in WV
Practice address
1573 Washington Street East
Charleston, WV 25311
Phone
(304) 343-5554
Fax
(304) 343-8492
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1225 WV Primary

Addresses

Primary practice location

1573 Washington Street East
Charleston, WV 25311

Mailing address

1573 Washington Street East
Charleston, WV 25311
Phone (304) 343-5554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240326003982 WV Practitioner - Mental Health Counselor 5890132898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tim Thistlethwaite MD PLLCGroup PAC ID 8426056565, 2 clinicians

Practice addresses (Care Compare)

100 Peyton Way
Suite 202
Charleston, WV 25309-8545
Phone (304) 205-5207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1225WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tim Thistlethwaite, M.D. PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1573 Washington St E
Charleston, WV 25311
Phone (304) 343-5554

100 Peyton Way
Ste 202
South Charleston, WV 25309
Phone (304) 205-5207

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497848139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 WASHINGTON STREET EAST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25311",
            "telephone_number": "304-343-5554",
            "fax_number": "304-343-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 WASHINGTON STREET EAST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25311",
            "telephone_number": "304-343-5554",
            "fax_number": "304-343-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THISTLETHWAITE",
        "first_name": "DINA",
        "middle_name": "KAY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.