Kelsey Lynn Theesfeld, LCSW-PIP, LAC, QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6052 Issued in SD

Practice address

5000 S Minnesota Ave Ste 300
Sioux Falls, SD 57108-2700

Phone

(507) 302-3228

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Wevolve Counseling Services, LLC

  • Clinical Social Worker
  • Sioux Falls, SD
  • NPI 1134876519

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Southeastern Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1114002573
  Medicare reassignment NPD
• Southeastern Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Sioux Falls, SD
  • NPI 1689948317
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1992348817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 W WILSON DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571067623",
            "telephone_number": "507-302-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S MINNESOTA AVE STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082700",
            "telephone_number": "507-302-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEESFELD",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "credential": "LCSW-PIP, LAC, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "19091829",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wellness Collective LLC
• The Woven Root
• The Young Men's Christian Association of Sioux Falls
• Brittney Anne Thedens, RBT
• Alexandria Theel, MSW, LCSW (CSW), ACT
• Tori Renee Theisen
• Rebecca Theophilus, LPC
• Therapy Paige, LLC
• Theratime Inc
• Amy Nicole Therkelsen, FNP-C

• Clinical Social Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.