Kirsten Louise Thayer, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802089399 Issued in MI

Practice address

112 S Main St
Mount Pleasant, MI 48858-2326

Phone

(989) 802-4422

NPI assigned

Mar 6, 2017

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Calm Tides Therapy

  • Clinical Social Worker
  • Mount Pleasant, MI
  • NPI 1063263614
  NPD Authorized official

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1932649282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 E LAPORTE RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239104",
            "telephone_number": "989-802-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582326",
            "telephone_number": "989-802-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "KIRSTEN",
        "middle_name": "LOUISE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802089399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ten Sixteen Recovery Network
• Tendercare Michigan Inc.
• Terry Ball DO PLLC
• Teter Orthotics & Prosthetics Inc
• Nirav Yogeshbhai Thaker, RPT
• The Heart of Michigan Health Care
• Amylynn Theisen, MA, LPC, CAADC
• Caitie Theisen
• Timothy Theisen, MA LLC CADC
• Emma Nicole Thelen

• Social Worker in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.