Teresa Carmel McKenna, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH18209 Issued in FL

Practice address

9105 Shadow Pond CT
Odessa, FL 33556-3148

Phone

(813) 297-8331

NPI assigned

Apr 5, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Face It Psychotherapy

  • Mental Health Counselor
  • Odessa, FL
  • NPI 1780259895
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1053817254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 SHADOW POND CT",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563148",
            "telephone_number": "813-297-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 SHADOW POND CT",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563148",
            "telephone_number": "813-297-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8951 Eastman Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336262941",
            "country_code": "US",
            "telephone_number": "813-297-8331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3491 Gandy Blvd N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337812654",
            "country_code": "US",
            "telephone_number": "727-494-7609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "TERESA",
        "middle_name": "CARMEL",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH18209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudy Mayoz, M.D.
• Chanel Janae Mays
• Lori A McEvilly, ITDS, MS, BS
• Hannah Colean McFadden, LMT
• Braxton McFarland, MD
• Kristyn McNally
• Ryan Lee McPherson
• Stephanie Marcene McQuillan, APRN
• Meagan Fergen LCSW, LLC (Bay Haven Counseling)
• Med 1St LLC (Med 1St)

• Mental Health Counselor in Odessa, FL
• Providers in Odessa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.