Individual provider Active NPI

Chanel Joy Thiry, MA

  • Mental Health Counselor
  • Lake Elmo, MN
National Provider Identifier
1811515166
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone
(651) 379-0444
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628

Mailing address

8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone (651) 379-0444

Other practice location 1

4756 Banning Ave Ste 200-2
White Bear Lake, MN 55110-3205
Phone (612) 208-6796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306000976 MN Practitioner - Mental Health Counselor 3375989908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Bachmann and Associates, Inc CurrentSince Jul 24, 2022 Accepting new patients
Bachmann and Associates, Inc. Dba Counseling Care CurrentSince Feb 21, 2024 Accepting new patients
Chanel Thiry Counseling PLLC CurrentSince Nov 18, 2025 Accepting new patients

Locations

8669 Eagle Point Blvd
Lake Elmo, MN 55042
Phone (651) 379-0444

4756 Banning Ave
Ste 200-2
White Bear Lake, MN 55110
Phone (612) 208-6796

Organizations & group practices 3

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1811515166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8669 EAGLE POINT BLVD",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428628",
            "telephone_number": "651-379-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8669 EAGLE POINT BLVD",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428628",
            "telephone_number": "651-379-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4756 Banning Ave Ste 200-2",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "551103205",
            "country_code": "US",
            "telephone_number": "612-208-6796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIRY",
        "first_name": "CHANEL",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

Verify at the official NPI Registry.