JACQUELINE MARIE THEISEN NCC, LPCC
NPI 1962835777
Counselor - Mental Health in Hutchinson, MN

Active since August 15, 2013PECOS Enrolled
225 3RD AVE NW, HUTCHINSON, MN 55350(320) 455-9888(320) 587-5390 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2018, Jan 20, 2017 (2 updates tracked since 2017).

About Jacqueline Marie Theisen Ncc, Lpcc NPPES

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

JACQUELINE MARIE THEISEN NCC, LPCC (NPI 1962835777) is an individual mental health provider in Hutchinson, Minnesota, licensed in Minnesota (CC00794) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Monticello.

NPPES Registry Identity

NPI1962835777
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE MARIE THEISENCredential: NCC, LPCC
Location Address225 3RD AVE NWHutchinson, MN 55350-1623
Mailing Address225 3rd Ave NwHutchinson, MN 55350-1623 · (320) 455-9888 · Fax (320) 587-5390
Fax(320) 587-5390
Sole ProprietorNo
Enumeration DateAugust 15, 2013
Last NPPES UpdateApril 1, 20222 updates tracked since enumeration
NPPES CertifiedApril 1, 2022
NPI 1962835777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in MN · CC00794 Licensed in MN · 284917
225 3RD AVE NW, Hutchinson, MN 55350

Secondary Practice Location 1

Location 1200 W Broadway StMonticello, MN 55362-9353 · Phone (763) 272-1544 · Fax (320) 310-0983

Accepted 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)

Jacqueline Marie Theisen Ncc, Lpcc 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.

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
225 3RD AVE NW
HUTCHINSON, MN 55350

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 Jacqueline Theisen's NPI number?

The NPI number for Jacqueline Theisen is 1962835777. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Jacqueline Theisen located?

Jacqueline Theisen practices at 225 3rd Ave NW, Hutchinson, MN 55350. The listed phone number is (320) 455-9888.

What is Jacqueline Theisen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacqueline Theisen enrolled in Medicare?

Yes. Jacqueline Theisen is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Theisen accept?

Health plans from HealthPartners and Providence Health Plan list Jacqueline Theisen 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 Jacqueline Theisen was last updated on April 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.