MRS. LENNA SUE THIEMAN (NPI# 1679659825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679659825 |
Entity Type | Individual |
Full Name | MRS. LENNA SUE THIEMAN |
Credential | MA, LPC-MH, QMHP |
Practice Address |
417 S Main St Winner SD 57580-1794 |
Practice Telephone | 6058422284 |
Practice Fax Number | 6058422284 |
Mailing Telephone | 6058422284 |
Mailing Fax Number | 6058422284 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YM0800X |
Counselor Specialization: Mental Health |
QMHP | SD | Behavioral Health & Social Service Providers |
X | 101YP2500X |
Counselor Specialization: Professional |
LPC-MH 2131 | SD | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | DAKOTA CARE | 9234399 | 01 |
SD | 6576070 | 05 | |
SD | TRICARE/TRIWEST | 202516515 57580 A001 | 01 |
SD | WELLMARK BC/BS | 4993945 | 01 |
SD | AVERA HEALTH PLANS | 12681 | 01 |
Street Address |
417 S MAIN ST |
City | WINNER |
State | SD |
Zip Code | 57580-1794 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619520020 | Kelsey Shannon Soles | Counselor | 417 S Main St, Winner, SD 57580-1794 | 2019-07-24 |
1013484120 | Lenna Thieman | Clinic/Center | 417 S Main St, Winner, SD 57580-1794 | 2018-10-26 |
1609003805 | Diane Marie Covey Kludt | Counselor | 417 S Main St, Winner, SD 57580-1794 | 2009-06-15 |
1851534283 | Hearing Health Centers PC | Audiologist-Hearing Aid Fitter | 417 S Main St, Winner, SD 57580-1794 | 2009-04-15 |
1972603470 | Desirae L Vobr | Audiologist | 417 S Main St, Winner, SD 57580-1794 | 2006-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720328941 | Atlas Chiropractic of Winner, LLC | Chiropractor | 210 S. Main St, Suite #4, Winner, SD 57580 | 2013-02-25 |
1043350440 | Southern Plains Behavioral Health Services Inc | Community/Behavioral Health | 500 E 9th Street, Winner, SD 57580 | 2007-02-07 |
1275058752 | Madison Smither | Occupational Therapy Assistant | 745 E 8th St, Winner, SD 57580 | 2017-08-07 |
1205946878 | Lawrence G Gunner | Dentist | 825 E 8th St, Suite 203, Winner, SD 57580 | 2006-08-30 |
1750471298 | Melvin Herbert Harris I | Pharmacist | 1140 E 5th St, Winner, SD 57580-0070 | 2006-10-13 |
1760500805 | Cherlyn Leach | Counselor | 500 E 9th Street, Winner, SD 57580-0622 | 2007-03-27 |
1255539383 | Tera Lynn Pederson | Counselor | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
1447458575 | Brooke Larae Hossle | Registered Nurse | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
1487852596 | Courtney Paige Brozik | Social Worker | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
1023216132 | Sandra Ellen Fortuna | Social Worker | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
Find all providers in zip 57580 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619520020 | Kelsey Shannon Soles | Counselor | 417 S Main St, Winner, SD 57580-1794 | 2019-07-24 |
1548652084 | Tammy Keller | Counselor | 500 E 9th St, Winner, SD 57580-2604 | 2015-02-20 |
1902200348 | Sarah Meldrum | Counselor | 500 E 9th St, Winner, SD 57580-2604 | 2014-10-14 |
1740684182 | Mary Schmitz | Counselor | 500 E 9th St, Winner, SD 57580-2604 | 2014-10-14 |
1134553084 | Lindsey Jones | Counselor | 500 E 9th St, Winner, SD 57580-2604 | 2013-08-28 |
1255671228 | Cory Lemmert | Counselor | 500 E 9th St, Winner, SD 57580-2604 | 2013-02-27 |
1194065177 | Kenneth A Clefisch | Counselor | 500 E 9th St, Winner, SD 57580-2604 | 2013-02-27 |
1265772230 | Elizabeth A Jacobsen | Counselor | 500 E 9th St, Winner, SD 57580-2604 | 2013-02-27 |
1609003805 | Diane Marie Covey Kludt | Counselor | 417 S Main St, Winner, SD 57580-1794 | 2009-06-15 |
1760500805 | Cherlyn Leach | Counselor | 500 E 9th Street, Winner, SD 57580-0622 | 2007-03-27 |
Find all providers in WINNER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.