Individual provider Active NPI

Teresa Anne O'Donnell, LPC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1104158575
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4013-125 Issued in WI
Practice address
1409 Emil St
Madison, WI 53713-2311
Phone
(608) 283-6426
Fax
(608) 283-6374
NPI assigned
Feb 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4013-125 WI Primary

Addresses

Primary practice location

1409 Emil St
Madison, WI 53713-2311

Mailing address

1409 Emil St
Madison, WI 53713-2311
Phone (608) 283-6426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003915 WI Practitioner - Mental Health Counselor 3678913019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1250 Femrite Dr
Suite 205B
Monona, WI 53716-3787
Phone (608) 347-5015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Terri O'Donnell LPC Sasa LLC Mental Health CurrentSince Mar 20, 2024 Accepting new patients
Arc Community Services, Inc. Past Accepting new patients

Locations

1250 Femrite Dr
Ste 205B
Monona, WI 53716
Phone (608) 333-9030

1250 Femrite Dr
Ste 205C
Monona, WI 53716

Organizations & group practices 2

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": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1104158575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 EMIL ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132311",
            "telephone_number": "608-283-6426",
            "fax_number": "608-283-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 EMIL ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132311",
            "telephone_number": "608-283-6426",
            "fax_number": "608-283-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "TERESA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4013-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.