Individual provider Active NPI

Theresa Netto, LMHC

  • Mental Health Counselor
  • Watertown, NY
National Provider Identifier
1093114282
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009487 Issued in NY
Practice address
200 Washington St Ste 205
Watertown, NY 13601-3335
Phone
(315) 860-1781
Fax
(315) 800-6487
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009487 NY Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

200 Washington St Ste 205
Watertown, NY 13601-3335

Mailing address

7647 Park Ave
Lowville, NY 13367-1307
Phone (315) 804-4150

Other practice location 1

3 Bridge St
Carthage, NY 13619-1360
Phone (315) 493-3300

Other practice location 2

21986 Cole Rd
Carthage, NY 13619-9595
Phone (315) 519-6641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009487NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Love Psychotherapy CurrentSince Nov 7, 2025 Accepting new patients
Carthage Area Hospital Inc Past Accepting new patients
Carthage Area Hospital Inc Past Accepting new patients

Locations

200 Washington St
Ste 205
Watertown, NY 13601
Phone (315) 775-8838

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1093114282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7647 PARK AVE",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671307",
            "telephone_number": "315-804-4150",
            "fax_number": "315-800-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON ST STE 205",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013335",
            "telephone_number": "315-860-1781",
            "fax_number": "315-800-6487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "NY",
            "postal_code": "136191360",
            "country_code": "US",
            "telephone_number": "315-493-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21986 Cole Rd",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "NY",
            "postal_code": "136199595",
            "country_code": "US",
            "telephone_number": "315-519-6641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETTO",
        "first_name": "THERESA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009487",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.