Active NPI
Thor Hilding Fjell II, LPC, NCC
- Professional Counselor
- Surprise, AZ
National Provider Identifier
1740959758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-21020
- Practice address
- 17603 W Lisbon LN
Surprise, AZ 85388-7902 - Phone
- (602) 909-9207
- NPI assigned
- Sep 13, 2021
- Last updated
- Apr 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-21020 | AZ | Primary |
Addresses
Primary practice location
17603 W Lisbon LN
Surprise, AZ 85388-7902
Mailing address
17603 W Lisbon LN
Surprise, AZ 85388-7902
Phone (602) 909-9207
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-21020 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raymond W Lemberg PHD PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1740959758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17603 W LISBON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853887902",
"telephone_number": "602-909-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17603 W LISBON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853887902",
"telephone_number": "602-909-9207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FJELL",
"first_name": "THOR",
"middle_name": "HILDING",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-13",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-21020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.