Theresa Marie Farrara, BA, LCDC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDC1412523 Issued in OH

Practice address

88 N. Sandusky St.
Delaware, OH 43015

Phone

(740) 203-3800

Fax

(740) 203-3799

NPI assigned

Jul 19, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryhaven Inc

  • Addiction (Substance Use Disorder) Registered Nurse
  • Delaware, OH
  • NPI 1538676317
  NPD (past)
• Maryhaven Inc.

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1245290436
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1366895906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071708",
            "telephone_number": "614-445-8131",
            "fax_number": "614-827-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 N. SANDUSKY ST.",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "43015",
            "telephone_number": "740-203-3800",
            "fax_number": "740-203-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRARA",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "BA, LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDC1412523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Experienced Providers in Care LLC
• Eye Care Studio, LLC (The Eye Care Studio)
• George Oswald Faerber, D.O.
• Fahtiva Virtual Care LLC
• Ashlyn Farmwald
• Troy D. Fate, M.D.
• Amanda M Fava, LISW-S
• Jillian Feazel, MA, LPCC
• Kaitlin Ferretti, AUD
• Rashi Anne Fischer, MD

• Addiction (Substance Use Disorder) Counselor in Delaware, OH
• Providers in Delaware, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.