Thelen Therapy Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THELEN THERAPY SERVICES LLC

Practice address

261 E Broadway
Tollefson Suite
Monticello, MN 55362

Phone

(763) 370-0243

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mark Rodney Thelen, PSY.D.NPI 1568425908

Title

LP Licensed Psychologist

Phone

(763) 370-0243

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark R Thelen, PSYD LP LMFT

  • Psychologist
  • Monticello, MN
  • NPI 1568425908
  NPD Authorized official

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1649937996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553620102",
            "telephone_number": "763-370-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E BROADWAY",
            "address_2": "TOLLEFSON SUITE",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "55362",
            "telephone_number": "763-370-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THELEN THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "LP LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "763-370-0243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000693475",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@thelentherapyserv.com",
            "affiliation": "N",
            "address_1": "261 E Broadway",
            "address_2": "Tollefson Suite",
            "city": "Monticello",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kristin Mary Theisen, RPH
• Mark R Thelen, PSYD LP LMFT
• Tollefson Counseling Services
• Barbara Jean Tollefson, MA LP
• Mark S. Tonn, DC
• Joanna Rose Tran, DDS

• Community/Behavioral Health Agency in Monticello, MN
• Providers in Monticello, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.