Emma Nicole Thelen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1524 E Broadway St
Mt Pleasant, MI 48858-2933

Phone

(989) 854-8334

NPI assigned

Sep 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1770198210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 S HINMAN RD",
            "city": "WESTPHALIA",
            "state": "MI",
            "postal_code": "488949209",
            "telephone_number": "989-640-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 E BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582933",
            "telephone_number": "989-854-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEN",
        "first_name": "EMMA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "106S00000X",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Louise Thayer, LMSW
• The Heart of Michigan Health Care
• Amylynn Theisen, MA, LPC, CAADC
• Caitie Theisen
• Timothy Theisen, MA LLC CADC
• Ashley N Thering, LMSW, QMHP, CMHP
• Chance Matthew Thick
• Thomas J McDonald DDS PC
• Thomas M Keating MD PC
• Melissa R Thomas, OT

• Behavior Technician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.