Kayla Thiessen, LAC is a
Counselor - Professional based in Glenwood, New Jersey. Kayla Thiessen is licensed to practice in New Jersey (license number 37AC00867900) and her current practice location is
15 Vlietstra Dr, Glenwood, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 934-1004.
NPI number for Kayla Thiessen is 1912898198 and her current mailing address is 15 Vlietstra Dr, Glenwood, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912898198.
Healthcare Provider's Profile
| Full Name | Kayla Thiessen |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 15 Vlietstra Dr, Glenwood, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912898198
- Provider Enumeration Date: 07/14/2025
- Last Update Date: 07/14/2025
Medical Identifiers
Medical identifiers for Kayla Thiessen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912898198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 37AC00867900 (New Jersey) | Primary |
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. Kayla Thiessen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kayla Thiessen, LAC
15 Vlietstra Dr,
Glenwood, NJ 07418-1606
Ph: (973) 934-1004 | Kayla Thiessen, LAC
15 Vlietstra Dr,
Glenwood, NJ 07418-1606
Ph: (973) 934-1004 |
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