Individual provider Active NPI

Thor Hilding Fjell II, LPC, NCC

  • Professional Counselor
  • Surprise, AZ
National Provider Identifier
1740959758
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-21020 Issued in AZ
Practice address
17603 W Lisbon LN
Surprise, AZ 85388-7902
Phone
(602) 909-9207
NPI assigned
Sep 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPC-21020AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond W Lemberg PHD PC PastSince Sep 1, 2021 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.