DOROTHY N THEUS PLPC
NPI 1245905553
Counselor - Professional in Joplin, MO
About Dorothy N Theus Plpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOROTHY N THEUS PLPC (NPI 1245905553) is an individual professional provider in Joplin, Missouri, licensed in Missouri (2021029956) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Dorothy N Theus Plpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Dorothy Theus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Joplin, MO 64804
- Reassigned Medicare billing, Missouri enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOPLIN, MO 64804
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 Dorothy Theus's NPI number?
The NPI number for Dorothy Theus is 1245905553. It was assigned to this individual provider in the NPPES registry on August 10, 2021. The provider is also known as Dorothy N Madrigal.
Where is Dorothy Theus located?
Dorothy Theus practices at 3901 E 32nd St, Joplin, MO 64804. The listed phone number is (417) 347-7567.
What is Dorothy Theus's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Dorothy Theus enrolled in Medicare?
Yes. Dorothy Theus 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 Dorothy Theus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dorothy Theus reassigns Medicare benefits to Ozark Center (Joplin, MO). 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 Dorothy Theus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dorothy Theus accept?
Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Dorothy Theus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dorothy Theus was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Dorothy N Theus, PLPC · NPI 1245905553
Professional provider in Joplin, Missouri. Individual provider, active in the CMS NPPES registry since August 10, 2021.
## Identity
- **NPI:** 1245905553 (Entity type: Individual)
- **Enumerated:** August 10, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2021029956 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3901 E 32ND ST, Joplin, MO 64804-3312
- **Phone:** (417) 347-7567
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Ozark Center (NPI 1790038511, Joplin, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 11, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1245905553) · Data from the CMS NPPES public registry.