Organization Active NPI

Terra Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1376437384
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Theresa Donley, APRNNPI 1013443993
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.