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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: August 16, 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 and is a graduate of Other (2016).

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
Medical School CMSOtherGraduated 2016
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2769881317
PECOS Enrollment IDI20210602000050
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.

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.

What insurance does Jeffrey Thoelen accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. 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.