Dorothy Theus, PLPC
NPI 1245905553 · Professional Counselor · Joplin, MO
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dorothy Theus, PLPC is a Professional Counselor provider in Joplin, MO (NPI 1245905553).
Provider details
- NPI number
- 1245905553
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PLPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2021029956 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
128 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 45 Minutes90834 | 97 | $74 |
| Psychotherapy, 30 Minutes90832 | 17 | $56 |
| Psychiatric Diagnostic Evaluation90791 | 14 | $123 |
Typical Medicare-allowed amounts for these services range $56–$123 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Frequently asked questions
- What is Dorothy Theus's NPI number?
- Dorothy Theus's National Provider Identifier (NPI) is 1245905553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dorothy Theus's specialty?
- Dorothy Theus is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Dorothy Theus located?
- Dorothy Theus's practice location on file with NPPES is 3901 E 32nd St, Joplin, MO 64804-3312.
- What is Dorothy Theus's phone number?
- The practice phone number listed in the NPPES registry for Dorothy Theus is (417) 347-7567.
- Does Dorothy Theus accept Medicare?
- Dorothy Theus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dorothy Theus's NPI active?
- Yes — Dorothy Theus's NPI (1245905553) is active in the NPPES registry as of the last update on 2024-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.