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CHRISTY THIELEN
NPI 1083104897
Counselor - Professional in Chicago, IL

Active since May 16, 2018PECOS EnrolledAccepts Medicare Assignment
1209 W DIVERSEY PKWY UNIT G-2, CHICAGO, IL 60614(773) 236-8566 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2022, May 16, 2018 (2 updates tracked since 2018).

About Christy Thielen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTY THIELEN (NPI 1083104897) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.013938) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1083104897
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHRISTY THIELEN
Location Address1209 W DIVERSEY PKWY UNIT G-2Chicago, IL 60614-1201
Mailing Address1209 W Diversey Pkwy Unit G-2Chicago, IL 60614-1201 · (773) 236-8566
Phone(773) 236-8566
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 16, 2018
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
✔ NPI 1083104897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.013938✔ Licensed in IL · 178.010029
1209 W DIVERSEY PKWY UNIT G-2, Chicago, IL 60614
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christy Thielen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507303617
PECOS Enrollment IDI20240807002500
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christy Thielen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renew You Counseling Center LLC
Same address
Mental Health (Including Community Mental Health Center)
1209 W DIVERSEY PWKY UNIT G-2
Chicago, IL 60614
  • Reassigned Medicare billing, Illinois enrollment
NPI 1750807749 (773) 236-8566

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELENA PAGELS NCC
Counselor (Mental Health)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566
ALYSHA BURD MED, LPC, NCC
Counselor (Mental Health)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566
RYLIE HART TERRION MED, LCP
Counselor (Mental Health)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566
JESSICA BACKUS
Counselor (Professional)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (802) 922-4860
SAMANTHA WIEGAND
Counselor (Professional)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 413-8385
CAROLINE SRBENY
Counselor (Mental Health)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566
CASEY TANGONAN
Counselor (Professional)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christy Thielen's NPI number?

The NPI number for Christy Thielen is 1083104897. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Christy Thielen located?

Christy Thielen practices at 1209 W Diversey Pkwy Unit G-2, Chicago, IL 60614. The listed phone number is (773) 236-8566.

What is Christy Thielen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Christy Thielen enrolled in Medicare?

Yes. Christy Thielen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Christy Thielen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christy Thielen reassigns Medicare benefits to Renew You Counseling Center LLC (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christy Thielen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christy Thielen was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.