Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marina Antonia Theisen

Individual provider Mental Health Counselor · NPI 1386572113

Marina Antonia Theisen is a Mental Health Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

10801 S Western Ave Ste 2B
Chicago, IL 60643-3223
Phone: (708) 586-7357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 178.032738 (IL)

Record details

NPI number1386572113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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