Alex Theobald, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT.0002620

Practice address

2121 S Oneida St Ste 600
Denver, CO 80224-2555

Phone

(720) 863-6100

NPI assigned

Oct 25, 2019

Sex

Male

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 Dec 10, 2024 through Dec 10, 2026

Medicare enrollment (NPD)

Not enrolled

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.

• Mind Body Sport, LLC

  • Professional Counselor
  • Denver, CO
  • NPI 1497273916
  NPD (past)
• Thrive Relational Recovery

  • Mental Health Counselor
  • Centennial, CO
  • NPI 1598272841
  NPD (past)

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1962045682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242555",
            "telephone_number": "720-863-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242555",
            "telephone_number": "720-863-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOBALD",
        "first_name": "ALEX",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-25",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "MFT.0002620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayme Joseph Theis, MT
• Caitlin Honor Theisen, LPCC
• John Christopher Theisen, B.A.
• Mackenzie Theisen
• Brandi J Thelen
• Jeanne Marie Theobald, M.D.
• Kimberly R. Theobald, N.P.
• Sean Elias Theodoratos, MSW, SWC, LAC
• Theodore S Wirecki MD PC
• Scott Kenneth Theodore

• Marriage & Family Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.