Elizabeth Ann Thiel, MS, MED

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2202825 Issued in OH

Practice address

10738 Pleasant Knoll Dr
Tampa, FL 33647-3667

Phone

(614) 743-1054

NPI assigned

Apr 5, 2022

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

Other names 1

• Elizabeth Ann Polley Former name

Medicare fee-for-service enrollment

Enrolled in FL, OH2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education, Master of Science

State licenses

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1518608595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10738 PLEASANT KNOLL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473667",
            "telephone_number": "614-743-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10738 PLEASANT KNOLL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473667",
            "telephone_number": "614-743-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7070 Scarlet Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430269830",
            "country_code": "US",
            "telephone_number": "614-743-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIEL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MS, MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-12-09",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2202825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "POLLEY",
            "middle_name": "ANN",
            "credential": "MS, MED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany Theriault
• Therpy Iq LLC
• Chelsie Anne Thibault, APRN
• Aaron Thibert, LCSW
• Cora Elizabeth Thibodeau
• Tara A Thiel, O.D.
• Neil Allen Thierry, M.D.
• Elizabeth Thigpen
• Jack B Thigpen III, D.M.D
• Puchong Thirawatananond, MD, PHD

• Professional Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.