Caleb Lee Thetford, LMHC, MHP, CMHS, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60855835 Issued in WA

Practice address

61 Glenn Rd N
Montesano, WA 98563-9767

Phone

(360) 500-6743

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quinault Indian NationGroup PAC ID 4385164839, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Quinault Indian Nation

  dba Quinault Community Health

  • Family Medicine Physician
  • Aberdeen, WA
  • NPI 1952131757

  TX

  Medicare reassignment Care Compare group
• Analaigh Heals

  • Massage Therapist
  • Worden, MT
  • NPI 1578216230
  NPD
• Harbor Youth and Family Counseling

  • Mental Health Counselor
  • Tukwila, WA
  • NPI 1205466265
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1508392663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 GLENN RD N",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985639767",
            "telephone_number": "360-500-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GLENN RD N",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985639767",
            "telephone_number": "360-500-6743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 W Wynooche Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Montesano",
            "state": "WA",
            "postal_code": "985634401",
            "country_code": "US",
            "telephone_number": "360-280-4969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THETFORD",
        "first_name": "CALEB",
        "middle_name": "LEE",
        "credential": "LMHC, MHP, CMHS, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60637837",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60855835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Star Steadman
• Perry J Straus, COTA/L
• Joann Surratt, LMT
• Erin Renae Swint, FNP-C
• Jamie Christina Talley
• Trilogy Counseling Collaborative
• Trinity Behavioral Health LLC
• Valu Drug Inc. (Valu Drug Pharmacy)
• Valu Drug Inc.
• Valu-Drugs Inc (Valu Drug)

• Mental Health Counselor in Montesano, WA
• Providers in Montesano, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.

Verify at the official NPI Registry.