Jana Lee Theisen, LCAC, LCSW
NPI 1851694806ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Grand Forks, ND
Counselor, Addiction (Substance Use Disorder) (LCAC, LCSW) with Agassiz Associates, PLLC, practicing in Grand Forks, North Dakota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1851694806 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCAC, LCSW |
| Sole proprietor | No |
| NPI issued | Dec 14, 2010 |
| Last updated in NPPES | Jul 1, 2026 |
| Certified by provider | Jul 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 1598 | ND |
| Social Worker, Clinical | 1041C0700X | 4196 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ND) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Agassiz Associates, PLLCGrand Forks, ND · 9 clinicians
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