Mary L Thielbahr, MFT – Marriage & Family Therapist

Key facts

NPI: 1902001027
Entity type: Individual (NPI type 1)
Primary specialty: Marriage & Family Therapist 106H00000X
License: 18097 (CA)
Practice address: 20 Bearfoot Lane
Heron, MT 59844
Phone: (406) 847-5850
Fax: (406) 847-4242
NPI assigned: Jun 19, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Clearview Horizon Inc Psychiatric Residential Treatment Facility · Heron, MT · NPI 1578769980

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LEDPSY901	CA	MD	School Psychologist
18097	CA	MD	Clinical Social Worker
LMFT2624	ID	MD	Marriage & Family Therapist

Practice roles

Organization	Specialty	Status	New patients
Clearview Horizon Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
School Psychologist	103TS0200X	LEDPSY901	CA
Marriage & Family Therapist	106H00000X	LMFT2624	ID
Marriage & Family Therapist	106H00000X	18097	CA	Yes

Addresses

Primary practice location

20 Bearfoot Lane
Heron, MT 59844

Mailing address

785 Kaniksu Shores
Sandpoint, ID 83864-6462
Phone (208) 263-5894

Other providers in Heron, MT

All providers in Heron, MT · Marriage & Family Therapist in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.