Individual provider Active NPI

Michelle Lynn Thoen, PSY.D., LPC

  • Professional Counselor
  • Osceola, WI
National Provider Identifier
1710137963
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3989-125 Issued in WI
Practice address
307 N Cascade St
Third Floor
Osceola, WI 54020
Phone
(612) 554-8914
Fax
(715) 755-2669
NPI assigned
Sep 24, 2008
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 301177 MN
Professional Counselor 101YP2500X 3989-125 WI Primary

Addresses

Primary practice location

307 N Cascade St
Third Floor
Osceola, WI 54020

Mailing address

PO Box 246
Osceola, WI 54020-0246
Phone (612) 554-8914

Other names 1

  • Dr. Michelle Lynn Thoen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
301177MNMDAddiction (Substance Use Disorder) Counselor
3989-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1710137963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200246",
            "telephone_number": "612-554-8914",
            "fax_number": "715-417-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N CASCADE ST",
            "address_2": "THIRD FLOOR",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "54020",
            "telephone_number": "612-554-8914",
            "fax_number": "715-755-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOEN",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301177",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3989-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "THOEN",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Osceola, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.