Chonnie Sutton Thiessen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

120392 Issued in CA

Practice address

74967 Sheryl Ave Ste 7
Palm Desert, CA 92260-2073

Phone

(760) 283-7873

NPI assigned

Feb 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment Care Compare group NPD
• Desert Marriage and Family Counseling Inc

  • Marriage & Family Therapist
  • Palm Desert, CA
  • NPI 1568899417
  NPD (past)
• Desert Marriage Family Counseling Inc

  • Adult Mental Health Clinic/Center
  • Palm Desert, CA
  • NPI 1730721358
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1851623326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922350323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74967 SHERYL AVE STE 7",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602073",
            "telephone_number": "760-283-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIESSEN",
        "first_name": "CHONNIE",
        "middle_name": "SUTTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "120392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Refinery Integrated Wellness Services Marriage and Family Thera
• The Refinery Integrated Wellness Services Marriage and Family Therapis
• The Refinery Wellness Programs Inc.
• The Yosa Group
• Thekey of Palm Springs LLC
• Daniel J Thoene, PHARMD, RPH
• Crystal Thomas
• Tori Thomason, CF-SLP
• Nicole Thompson-Yarrell
• Thoughtful Talk Family Therapy Inc.

• Mental Health Counselor in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.