MARY THEIS MA, CSLG PSY LCPC
NPI 1366808974
Counselor - Professional in Evanston, IL

Q: What is Mary Theis's NPI number?

The NPI number for Mary Theis is 1366808974. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Q: What is Mary Theis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Theis was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 12, 2016

9343 DRAKE AVE, EVANSTON, IL 60203(847) 677-7022 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Theis Ma, Cslg Psy Lcpc NPPES

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

MARY THEIS MA, CSLG PSY LCPC (NPI 1366808974) is an individual professional provider in Evanston, Illinois, licensed in Illinois (180.004853) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1366808974

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARY THEISCredential: MA, CSLG PSY LCPC

Location Address9343 DRAKE AVEEvanston, IL 60203-1406

Mailing Address9343 Drake AveEvanston, IL 60203-1406 · (847) 677-7022

Phone(847) 677-7022

Sole ProprietorYes

Enumeration DateJanuary 12, 2016

✔ NPI 1366808974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180.004853

9343 DRAKE AVE, Evanston, IL 60203

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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 Mary Theis's NPI number?

The NPI number for Mary Theis is 1366808974. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Where is Mary Theis located?

Mary Theis practices at 9343 Drake Ave, Evanston, IL 60203. The listed phone number is (847) 677-7022.

What is Mary Theis's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Theis was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.