Individual provider Active NPI

Teresa Anne Pappas, LMHC

  • Mental Health Counselor
  • Fairfield, IA
National Provider Identifier
1184744955
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00970 Issued in IA
Practice address
607 W Broadway Ave Unit 312
Fairfield, IA 52556-3466
Phone
(641) 451-1933
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 00970 IA Primary

Addresses

Primary practice location

607 W Broadway Ave Unit 312
Fairfield, IA 52556-3466

Mailing address

607 W Broadway Ave Unit 312
Fairfield, IA 52556-3466
Phone (641) 451-1933

Other identifiers 1

IdentifierTypeStateIssuer
0272021MedicaidIA

Other names 1

  • Teresa Anne Wagner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20231221000325 IA Practitioner - Mental Health Counselor 6204286909 Reassigns benefits to 1 organization
Practice locations: Fairfield, IA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00970IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimae Lifeservices, Inc, CurrentSince Jan 1, 2024 Accepting new patients
Optimae Lifeservices,Inc. Current Accepting new patients
Teresa Pappas Mental Health Past Accepting new patients
Nurse in the House, Inc. Past Accepting new patients

Locations

2201 W Jefferson Ave
Fairfield, IA 52556
Phone (641) 472-1684

301 W Burlington Ave
Fairfield, IA 52556
Phone (641) 472-1684

Organizations & group practices 4

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1184744955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W BROADWAY AVE UNIT 312",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563466",
            "telephone_number": "641-451-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W BROADWAY AVE UNIT 312",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563466",
            "telephone_number": "641-451-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "TERESA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272021",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "WAGNER",
            "middle_name": "ANNE",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.