LYDIA HOPE THEISEN
NPI 1912540410
Counselor in Jonesboro, AR

Q: What is Lydia Theisen's NPI number?

The NPI number for Lydia Theisen is 1912540410. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Q: What is Lydia Theisen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lydia Theisen was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 28, 2019

1815 PLEASANT GROVE RD, JONESBORO, AR 72405(870) 933-6886(870) 933-9395 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lydia Hope Theisen NPPES

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

LYDIA HOPE THEISEN (NPI 1912540410) is an individual counselor in Jonesboro, Arkansas and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1912540410

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameLYDIA HOPE THEISEN

Location Address1815 PLEASANT GROVE RDJonesboro, AR 72405-7870

Mailing Address1815 Pleasant Grove RdJonesboro, AR 72405-7870 · (870) 933-6886 · Fax (870) 933-9395

Phone(870) 933-6886

Fax(870) 933-9395

Sole ProprietorNo

Enumeration DateOctober 28, 2019

✔ NPI 1912540410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

1815 PLEASANT GROVE RD, Jonesboro, AR 72405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

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