Active NPI
Karen M Theiling, LMHC
- Mental Health Counselor
- Northampton, MA
National Provider Identifier
1902915523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5192
- Practice address
- 1 Roundhouse PLZ
Suite 201
Northampton, MA 01060-4401 - Phone
- (413) 522-6868
- Fax
- (413) 586-0620
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5192 | MA | Primary |
Addresses
Primary practice location
1 Roundhouse PLZ
Suite 201
Northampton, MA 01060-4401
Mailing address
1 Roundhouse PLZ
Suite 201
Northampton, MA 01060-4401
Phone (413) 522-6868
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902915523 | Other | MA | BMC HEALTHNET PLAN |
| 7767566 | Other | MA | AETNA |
| 1323839 | Other | MA | COMPSYCH HMO |
| 1902915523 | Other | MA | COMMONWEALTH CARE MCO/BMCHP |
| LM1149 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5192 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1902915523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ROUNDHOUSE PLZ",
"address_2": "SUITE 201",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010604401",
"telephone_number": "413-522-6868",
"fax_number": "413-586-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROUNDHOUSE PLZ",
"address_2": "SUITE 201",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010604401",
"telephone_number": "413-522-6868",
"fax_number": "413-586-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEILING",
"first_name": "KAREN",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "1902915523",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7767566",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH HMO",
"identifier": "1323839",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH CARE MCO/BMCHP",
"identifier": "1902915523",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "LM1149",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
- The Center for Aesthetic Medicine , LLC , D.B.a. Provider House Calls
- The Northampton Center for Couples
- The Stop & Shop Supermarket Company LLC
- The Wellness Collective LLC
- The Whole Person Institute
- Azucena Amelie Thibault-Munoz, BS
- Kelly Thibodeau
- Thomas & Michele Atkinson DMD,P.C.
- Brandee Thomas, PHYSICIAN ASSISTANT
- Barbara E Thompson, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.