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

Michael Theisen

Individual provider Mental Health Counselor · NPI 1912398694

Michael Theisen is a Mental Health Counselor in Issaquah, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015

Practice location Address checks out

22530 SE 64th Pl Ste 220
Issaquah, WA 98027-5353
Phone: (425) 281-6405
Fax: (425) 961-0783
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 LH60195901 (WA)

Record details

NPI number1912398694
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 17, 2015
Last updated in NPPESFebruary 17, 2015
Mailing address22530 Se 64th Place, Suite 220, Issaquah, WA 98027

Other providers in Issaquah