TERRI THELEN (MA) – Professional Counselor, NPI 1609208719

TERRI THELEN (MA) is a healthcare provider. based in Stigler, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. They hold a License No. 5488 (OK). The NPI Number for TERRI THELEN (MA) is 1609208719

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
TERRI THELEN (MA)
NPI
1609208719
Phone
(918) 967-8223
Address
905 NW 4TH ST
Enumeration Date
31 July 2013
Last Update Date
30 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802235636
Graduation Year
2007 (19 years ago)
PAC ID
6901257930
Group Practice PAC ID
6406748961
Professional Enrollment ID
I20240103004865
Address ID
OK734015519AR2530XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for TERRI THELEN (MA)

  • 905 NW 4TH ST

    STIGLER, OK 744621652

    Phone: (918) 967-8223

    Type: Location

  • 601 W LIBERTY RD.

    ATOKA, OK 745254418

    Phone: (303) 345-7045

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240103004865IMental Health CounselorOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74462)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406748961View full group profile
NameSpecialtyState
Addiction Medicine, PsychiatryOK
Mental Health CounselorOK
Family Practice, PsychiatryOK
Mental Health CounselorOK
Clinical Social WorkerOK
Mental Health CounselorOK
Marriage And Family TherapistOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

Is there an official ID for TERRI THELEN (MA) in U.S. healthcare records?
The official identifier for TERRI THELEN (MA) is NPI 1609208719.
Would TERRI THELEN (MA) appear as active to a payer?
You can treat TERRI THELEN (MA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to TERRI THELEN (MA)?
TERRI THELEN (MA)'s specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with TERRI THELEN (MA)?
Directory geography for TERRI THELEN (MA) centers on Stigler, Oklahoma.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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