Jacqueline Marie Theisen, NCC, LPCC in Hutchinson, MN

Jacqueline Marie Theisen, NCC, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Hutchinson, Minnesota. Her current practice location is 225 3rd Ave Nw, Hutchinson, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 455-9888.

Jacqueline Marie Theisen is licensed to practice in Minnesota (license number CC00794) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962835777.

Contact Information

	Jacqueline Marie Theisen, NCC, LPCC
	225 3rd Ave Nw, Hutchinson, MN 55350-1623
	(320) 455-9888
	(320) 587-5390

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Marie Theisen
Gender	Female
Speciality	Counselor - Mental Health
Location	225 3rd Ave Nw, Hutchinson, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962835777
Provider Enumeration Date: 08/15/2013
Last Update Date: 04/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2668715699
Enrollment ID: I20241230001692

Medical Identifiers

Medical identifiers for Jacqueline Marie Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962835777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	284917 (Minnesota)	Secondary
101YM0800X	Counselor - Mental Health	CC00794 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Marie Theisen allows following entities to bill medicare on her behalf.

Entity Name	Jacqui Ruzicka Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669849808 PECOS PAC ID: 9133462161 Enrollment ID: O20241230001289

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. Jacqueline Marie 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
Jacqueline Marie Theisen, NCC, LPCC 225 3rd Ave Nw, Hutchinson, MN 55350-1623 Ph: (320) 455-9888	Jacqueline Marie Theisen, NCC, LPCC 225 3rd Ave Nw, Hutchinson, MN 55350-1623 Ph: (320) 455-9888

Reviews and Comments

Counselor in Hutchinson, MN

Brenda Padilla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Main St N Ste 201b, Hutchinson, MN 55350 Phone: 320-753-0778
Carrie Morgando, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 Minnesota 7, Hutchinson, MN 55350 Phone: 320-455-9888
Terry Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20288 Highway 15 N Ste 100, Hutchinson, MN 55350 Phone: 320-587-2326 Fax: 320-234-6358
Rochelle E Blair, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Highway 15 S, Hutchinson, MN 55350 Phone: 320-243-5000
Deanna Boettcher, MS Counselor Medicare: Medicare Enrolled Practice Location: 16 Washington Ave W Ste 101, Hutchinson, MN 55350 Phone: 320-632-5524 Fax: 888-991-2741
Mary Lou Kay Hausladen, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20288 Highway 15 N, Suite 100, Hutchinson, MN 55350 Phone: 320-587-2326 Fax: 320-234-6358
Mr. Larry Richard Bengtson, M.S.E., L.P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 121 1st Ave Se, Hutchinson, MN 55350 Phone: 855-454-2463

Jacqueline Marie Theisen, NCC, LPCC - Medicare Counselor in Hutchinson, MN