Active NPI
Terra Mental Health
- Psychiatric/Mental Health Nurse Practitioner
- Joliet, IL
National Provider Identifier
1376437384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- TERRA MENTAL HEALTH
- Practice address
- 3077 W Jefferson St Ste 107
Joliet, IL 60435-5263 - Phone
- (815) 674-1191
- NPI assigned
- Jun 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Donley, APRN
- Title
- Pmhnp-BC
- Phone
- (815) 674-4123
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3077 W Jefferson St Ste 107
Joliet, IL 60435-5263
Mailing address
3077 W Jefferson St Ste 107
Joliet, IL 60435-5263
Phone (815) 674-1191
National Provider Directory
National Provider DirectoryLocations
3077 W Jefferson St
Ste 107
Joliet, IL 60435
Phone (815) 674-1191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Joliet, IL
- NPI 1013443993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1376437384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3077 W JEFFERSON ST STE 107",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355263",
"telephone_number": "815-674-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3077 W JEFFERSON ST STE 107",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355263",
"telephone_number": "815-674-1191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRA MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-04",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "DONLEY",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "PMHNP-BC",
"authorized_official_telephone_number": "815-674-4123",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
- Kristin Leigh Tenuta, M.S., L.M.F.T
- Noel C Teodoro, RSA
- Stephanie J Terdic, PT, MSPT, DPT
- Christina Jean Tereze-Boywid
- Charlene Marie Terlizzi, PSY.D.
- Billie Terrell, PHD, LCSW
- Shilpa Thakkar, MD
- Nitesh R Thakker, M.D.
- The Centre for Oral Surgery in Joliet, Inc.
- The Centre for Oral Surgery in Joliet, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.