Amylynn Theisen, MA, LPC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401006678 Issued in MI

Practice address

1205 S Mission St
Ste 27
Mount Pleasant, MI 48858-3939

Phone

(989) 944-2950

Fax

(989) 317-3638

NPI assigned

Apr 1, 2008

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Ag Counseling Services, PLC

  • Professional Counselor
  • Mount Pleasant, MI
  • NPI 1538522966
  Medicare reassignment NPD

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1821260696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N LANSING ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488581631",
            "telephone_number": "989-944-2950",
            "fax_number": "989-317-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S MISSION ST",
            "address_2": "STE 27",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583939",
            "telephone_number": "989-944-2950",
            "fax_number": "989-317-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEISEN",
        "first_name": "AMYLYNN",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006678",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-01471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Ball DO PLLC
• Teter Orthotics & Prosthetics Inc
• Nirav Yogeshbhai Thaker, RPT
• Kirsten Louise Thayer, LMSW
• The Heart of Michigan Health Care
• Caitie Theisen
• Timothy Theisen, MA LLC CADC
• Emma Nicole Thelen
• Ashley N Thering, LMSW, QMHP, CMHP
• Chance Matthew Thick

• Professional Counselor in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.