1. Home
  2. Directory
  3. New Jersey
  4. Flanders
  5. Social Worker
  6. NPI Profile

JEFFREY THOELEN
NPI 1508444977
Social Worker - Clinical in Flanders, NJ

Active since March 29, 2021PECOS Enrolled
100/100
CMS Quality Rating
16 LEDGEWOOD RD, FLANDERS, NJ 07836(973) 229-4976 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jeffrey Thoelen NPPES

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

JEFFREY THOELEN (NPI 1508444977) is an individual clinical provider in Flanders, New Jersey, licensed in New Jersey (44SC05964000) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508444977
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEFFREY THOELEN
Location Address16 LEDGEWOOD RDFlanders, NJ 07836-9428
Mailing Address16 Ledgewood RdFlanders, NJ 07836-9428 · (973) 229-4976
Phone(973) 229-4976
Sole ProprietorYes
Enumeration DateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1508444977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05964000
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
16 LEDGEWOOD RD, Flanders, NJ 07836
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Thoelen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Jeffrey Thoelen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Senior Care Therapy LLC
30 mi
Clinical
85 CRESCENT AVE
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey enrollment
  • 319 clinicians in this Medicare group
NPI 1285898098 (973) 264-0023
Nj Behavioral Health Services PC
35 mi
Clinical
140 E RIDGEWOOD AVE STE 415
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 116 clinicians in this Medicare group
NPI 1447289376 (888) 515-3834
Grow Healthcare Group Of New Jersey PC
36 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902
Talkspace Behavioral Health Services Nj, PC
39 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, New Jersey enrollment
  • 34 clinicians in this Medicare group
NPI 1346020112 (212) 284-7206
Senior Living Behavioral Health Lcsw PLLC
39 mi
Clinical
747 3RD AVE, 2ND FLOOR
New York, NY 10017
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1083150056 (800) 829-0115
Lifebulb LLC
66 mi
Mental Health
505 MAIN ST
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 93 clinicians in this Medicare group
NPI 1699491464 (434) 944-7565

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

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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
102 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07836 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.54
Improvement Activities40

Other Providers at the Same Location NPPES

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

JEFFREY THOELEN COUNSELING LLC
Social Worker (Clinical)
16 LEDGEWOOD RD
FLANDERS, NJ 07836
Morris County (973) 229-4976

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 Jeffrey Thoelen's NPI number?

The NPI number for Jeffrey Thoelen is 1508444977. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Jeffrey Thoelen located?

Jeffrey Thoelen practices at 16 Ledgewood Rd, Flanders, NJ 07836. The listed phone number is (973) 229-4976.

What is Jeffrey Thoelen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeffrey Thoelen enrolled in Medicare?

Yes. Jeffrey Thoelen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffrey Thoelen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Thoelen reassigns Medicare benefits to 6 organizations: Senior Care Therapy LLC (Passaic, NJ), Nj Behavioral Health Services PC (Paramus, NJ), Grow Healthcare Group Of New Jersey PC (Hoboken, NJ), Talkspace Behavioral Health Services Nj, PC (New York, NY), Senior Living Behavioral Health Lcsw PLLC (New York, NY) and 1 more organization, listed in the Medicare section above. Each 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 Jeffrey Thoelen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Thoelen accept?

Health plans from Oscar Health list Jeffrey Thoelen 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 Jeffrey Thoelen was last updated on March 29, 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.