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MS. KRISTINE A. THELEN LCSW
NPI 1407855414
Counselor in South Bend, IN

Active since July 20, 2005
108 N MAIN ST, SUITE 305, SOUTH BEND, IN 46601(574) 234-3515(574) 234-3565 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kristine A. Thelen Lcsw NPPES

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

MS. KRISTINE A. THELEN LCSW (NPI 1407855414) is an individual counselor in South Bend, Indiana, licensed in Indiana (34004344A) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1407855414
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. KRISTINE A. THELENCredential: LCSW
Location Address108 N MAIN ST, SUITE 305South Bend, IN 46601-1625
Mailing Address4209 Cross Creek DrSouth Bend, IN 46628 · (574) 261-2488 · Fax (574) 234-3565
Phone(574) 234-3515
Fax(574) 234-3565
Sole ProprietorYes
Enumeration DateJuly 20, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407855414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IN · 34004344A
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
108 N MAIN ST, South Bend, IN 46601
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Other Names 1

Other Name (5)Mrs. Kristine Ann Thelen-eberhart Lcsw

Other Providers at the Same Location NPPES 18

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

DEBORAH HELEN MILLER MSW, LCSW
Social Worker (Clinical)
108 N MAIN ST, SUITE 305
SOUTH BEND, IN 46601
St. Joseph County (574) 234-3515
MS. TRICIA L WAINSCOTT MSW
Social Worker
108 N MAIN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 234-3515
MRS. RENEE LOUISE DEROSA MSW
Social Worker
108 N MAIN ST, SUITE # 305
SOUTH BEND, IN 46601
St. Joseph County (574) 234-3515
MS. ANTOINETTE REDDING BSW, MS, MSW, LMHC
Counselor (Mental Health)
108 N MAIN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 234-3515
MRS. ROSE CLARK
Marriage & Family Therapist
108 N MAIN ST, SUITE 500
SOUTH BEND, IN 46601
St. Joseph County (574) 246-1244
MS. IDAH GUDYANGA
Social Worker
108 N MAIN ST, SUITE 305
SOUTH BEND, IN 46601
St. Joseph County (574) 234-3515
JUILANN MARIE FORD M.A., CCCSLP
Speech-Language Pathologist
108 N MAIN ST, SUITE 820
SOUTH BEND, IN 46601
St. Joseph County (574) 234-7244
MS. SHOTUNUS DENEAN PETERSON M.S.W
Social Worker
108 N MAIN ST, SUITE 305
SOUTH BEND, IN 46601
St. Joseph County (574) 234-3515

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 Kristine Thelen's NPI number?

The NPI number for Kristine Thelen is 1407855414. It was assigned to this individual provider in the NPPES registry on July 20, 2005. The provider is also known as Mrs. Kristine Ann Thelen-Eberhart Lcsw.

Where is Kristine Thelen located?

Kristine Thelen practices at 108 N Main St Suite 305, South Bend, IN 46601. The listed phone number is (574) 234-3515.

What is Kristine Thelen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kristine Thelen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.