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BRIAN THEISEN CCAR
NPI 1386247864
Counselor - Addiction (Substance Use Disorder) in Canton, MI

Active since November 18, 2020
50430 SCHOOL HOUSE RD, CANTON, MI 48187(734) 751-0320 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian Theisen Ccar NPPES

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

BRIAN THEISEN CCAR (NPI 1386247864) is an individual addiction (substance use disorder) provider in Canton, Michigan and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1386247864
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRIAN THEISENCredential: CCAR
Location Address50430 SCHOOL HOUSE RDCanton, MI 48187-5910
Mailing Address50430 School House RdCanton, MI 48187-5910 · (734) 751-0320
Phone(734) 751-0320
Sole ProprietorNo
Enumeration DateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1386247864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
50430 SCHOOL HOUSE RD, Canton, MI 48187
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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.

JANICE TOPOREK
Counselor (Addiction (Substance Use Disorder))
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 495-1722
WILLIAM CARROLL
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 589-7974
MISS MARIN KOLASA
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 495-1722
MR. NATHANIEL EDISON PONDER LMSW, CCS, CADC
Social Worker (Clinical)
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 495-1722
MARY BLACKMON CPRC
Counselor (Addiction (Substance Use Disorder))
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 431-2357
KIRSTEN COLLEEN KELLY CPRC
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (248) 329-8954
NASHAWN DEAN RUSSEL LARIVIERE CPRC
Counselor (Addiction (Substance Use Disorder))
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 495-1722
ROBERT WIEDEMANN
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 495-1722

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 Brian Theisen's NPI number?

The NPI number for Brian Theisen is 1386247864. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Brian Theisen located?

Brian Theisen practices at 50430 School House Rd, Canton, MI 48187. The listed phone number is (734) 751-0320.

What is Brian Theisen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brian Theisen was last updated on November 18, 2020. 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.