Teresa Jetmar, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701012721 Issued in VA

Practice address

22280 Jeb Stuart Hwy
Stuart, VA 24171-2999

Phone

(276) 694-4361

Fax

(276) 694-3445

NPI assigned

Aug 15, 2023

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Regional Community Services BoardGroup PAC ID 0345215208, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Piedmont Regional Community Services Board

  • Community/Behavioral Health Agency
  • Martinsville, VA
  • NPI 1699754010
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1366225211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CLAY ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122810",
            "telephone_number": "276-632-7128",
            "fax_number": "276-694-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22280 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241712999",
            "telephone_number": "276-694-4361",
            "fax_number": "276-694-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETMAR",
        "first_name": "TERESA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Hubbard, RBT
• Ryan C Hubbard, D.O.
• Kara Hughes
• Gregory Todd Hutchens, D.D.S.
• Jeb Stuart Rescue Squad Incorporated
• Shonda Jones, MSN, APRN, FNP-BC
• Milbourne L Joye Jr., RD LDN
• India Brooke Kahle, COTA/L
• Kam's Corner, LLC
• Noel P Kornett, DDS

• Professional Counselor in Stuart, VA
• Providers in Stuart, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.