MRS. MARY L THIELBAHR (NPI# 1902001027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902001027 |
| Entity Type | Individual |
| Full Name | MRS. MARY L THIELBAHR |
| Credential | MFT |
| Practice Address |
20 Bearfoot Lane Heron MT 59844 |
| Mailing Address |
785 Kaniksu Shores Sandpoint ID 83864-6462 |
| Practice Telephone | 4068475850 |
| Practice Fax Number | 4068474242 |
| Mailing Telephone | 2082635894 |
| Mailing Fax Number | 2082638294 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2012-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TS0200X |
Psychologist Specialization: School |
LEDPSY901 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 18097 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LMFT2624 | ID | Behavioral Health & Social Service Providers |
| Street Address |
20 BEARFOOT LANE |
| City | HERON |
| State | MT |
| Zip Code | 59844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558784108 | David Barth | Student in an Organized Health Care Education/Training Program | 26 Aspen Ln, Heron, MT 59844 | 2014-01-31 |
| 1508299538 | Jeremiah Guidos | Counselor | 26 Aspen Lane, Heron, MT 59844 | 2013-08-13 |
| 1265856637 | Mary Stone | Student in an Organized Health Care Education/Training Program | 26 Aspen Lane, Heron, MT 59844 | 2014-02-06 |
| 1376966929 | James Edward Nippert | Student in an Organized Health Care Education/Training Program | 26 Aspen Lane, Heron, MT 59844 | 2014-01-31 |
| 1386066074 | Monarch School Inc. | Substance Abuse Rehabilitation Facility | 19 Aspen Ln, Heron, MT 59844-9506 | 2014-01-14 |
| 1144695818 | Joseph Wassif | Psychologist | 26 Aspen Ln, Heron, MT 59844-9506 | 2015-12-07 |
| 1578769980 | Clearview Horizon Inc | Psychiatric Residential Treatment Facility | 20 Bear Foot Ln, Heron, MT 59844-9522 | 2007-06-22 |
| 1215352240 | Christian K Johstoneaux | Social Worker | 91 Clark Fork Rd, Heron, MT 59844-9595 | 2014-02-27 |
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345229 | Garrett Forsyth | Marriage & Family Therapist | 205 S 20th Ave Unit A, Bozeman, MT 59718-4032 | 2020-10-29 |
| 1780281022 | Linda June Melvin | Marriage & Family Therapist | 216 E 2nd Ave, Big Timber, MT 59011-7855 | 2020-10-08 |
| 1548768013 | Janna M North | Marriage & Family Therapist | 1643 24th St W Ste 310, Billings, MT 59102-2677 | 2018-01-30 |
| 1861748394 | Jessica Renee Stuart | Marriage & Family Therapist | 1934 Stadium Dr Ste C, Bozeman, MT 59715-0672 | 2012-08-02 |
| 1487911541 | Dustin William Edgerton | Marriage & Family Therapist | 2620 Colonial Dr, Helena, MT 59601-4998 | 2012-04-13 |
| 1407139942 | Christopher Rawlings | Marriage & Family Therapist | 31733 South Fork Road, Troy, MT 59935 | 2011-09-21 |
| 1346534393 | Jacob Sparks | Marriage & Family Therapist | 77 Trails End Rd, Eureka, MT 59917 | 2011-06-07 |
| 1649593070 | Carole Martha Baker | Marriage & Family Therapist | 1515 Fairview Ave Ste 235, Missoula, MT 59801-7821 | 2010-03-12 |
| 1942442751 | Julieanna Genoun Renner | Marriage & Family Therapist | 439 Grand Ave, #195, Bigfork, MT 59911-3614 | 2009-03-26 |
| 1952589871 | Scott (nmn) Davies | Marriage & Family Therapist | 34 Woodard Ave, Absarokee, MT 59001 | 2008-02-01 |
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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.