Jana Lee Theisen, LAC, LSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Grand Forks, North Dakota. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Agassiz Associates, Pllc and her current practice location is
2424 32nd Ave S Ste 202, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 746-6336.
Jana Lee Theisen is licensed to practice in North Dakota (license number 1598) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851694806.
Healthcare Provider's Profile
| Full Name | Jana Lee Theisen |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 7 Years |
|---|
| Location | 2424 32nd Ave S Ste 202, Grand Forks, North Dakota |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Jana Lee Theisen graduated from medical school in 2018
NPI Data:
- NPI Number: 1851694806
- Provider Enumeration Date: 12/14/2010
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446762793
- Enrollment ID: I20250624000615
Medical Identifiers
Medical identifiers for Jana Lee Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851694806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 4196 (North Dakota) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1598 (North Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Agassiz Associates, Pllc | 9335116417 | 9 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jana Lee Theisen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jana Lee Theisen, LAC, LSW
2424 32nd Ave S Ste 202,
Grand Forks, ND 58201-6545
Ph: (701) 746-6336 | Jana Lee Theisen, LAC, LSW
2424 32nd Ave S Ste 202,
Grand Forks, ND 58201-6545
Ph: (701) 746-6336 |
Reviews and Comments