Caitlyn Quinn Tielens, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5432-125 Issued in WI

Practice address

N5367 Mayflower Rd
Shiocton, WI 54170-8934

Phone

(920) 986-3003

Fax

(920) 986-3004

NPI assigned

Jun 6, 2012

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

Other names 1

• Ms. Caitlyn Marie Quinn Former name

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1780945741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5367 MAYFLOWER RD",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "541708934",
            "telephone_number": "920-986-3003",
            "fax_number": "920-986-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N5367 MAYFLOWER RD",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "541708934",
            "telephone_number": "920-986-3003",
            "fax_number": "920-986-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIELENS",
        "first_name": "CAITLYN",
        "middle_name": "QUINN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2012007105",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5432-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "QUINN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Seitz, MA, LPC-IT
• Amy Michelle Shauger, LPN
• Shiocton-Bovina Fire Department
• Janice Spangler, MA
• Sandee Spaulding Cornell
• Christina Van Eyck, PTA
• Jennifer M Vander Wielen, LPCT
• Vanessa White
• Tracy L Wilke Kohlman, APSW
• Wolf River Chiropractic LLC

• Mental Health Counselor in Shiocton, WI
• Providers in Shiocton, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.