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MATTHEW THIEDE
NPI 1164015384
Counselor - Mental Health in Maple Grove, MN

Active since February 18, 2021
12918 63RD AVE N, MAPLE GROVE, MN 55369(763) 210-9966 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Thiede NPPES

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

MATTHEW THIEDE (NPI 1164015384) is an individual mental health provider in Maple Grove, Minnesota and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1164015384
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW THIEDE
Location Address12918 63RD AVE NMaple Grove, MN 55369-6001
Mailing Address12918 63rd Ave NMaple Grove, MN 55369-6001
Phone(763) 210-9966
Sole ProprietorNo
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1164015384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12918 63RD AVE N, Maple Grove, MN 55369
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Other Providers at the Same Location NPPES 12

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

ALYSHA KVAM
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
BETHANY R DILLON MA, LPCC, CCTP
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 238-1855
KELLY SIMON
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (612) 554-3737
COLLABORATIVE COUNSELING LLC
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
MISS NAOMI NICOLE DORIOTT LARSON M.A., LPC
Counselor (Professional)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
CHRISTINA BUSCKO LPCC
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
MELISSA PAVLIK LMFT
Marriage & Family Therapist
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
CATHERINE NICOLE BREUER JOHNSON LPCC
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966

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 Matthew Thiede's NPI number?

The NPI number for Matthew Thiede is 1164015384. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Matthew Thiede located?

Matthew Thiede practices at 12918 63rd Ave N, Maple Grove, MN 55369. The listed phone number is (763) 210-9966.

What is Matthew Thiede's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Matthew Thiede was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.