Active NPI
Teal Marie Russeau, LCMHC
- Mental Health Counselor
- Brevard, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16565
- Practice address
- 29 W French Broad St Ste 210
Brevard, NC 28712-4773 - Phone
- (828) 883-5550
- Fax
- (828) 883-5525
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
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.
-
- Federally Qualified Health Center (FQHC)
- Sylva, NC
- NPI 1396481495
NC
-
- Federally Qualified Health Center (FQHC)
- Highlands, NC
- NPI 1437725041
NC
-
- Federally Qualified Health Center (FQHC)
- Clyde, NC
- NPI 1407200264
NC
-
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1801261391
NC
-
- Federally Qualified Health Center (FQHC)
- Sylva, NC
- NPI 1881130540
NC
-
- Federally Qualified Health Center (FQHC)
- Bryson City, NC
- NPI 1124668868
NC
-
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1225029051
NC
-
- Federally Qualified Health Center (FQHC)
- Franklin, NC
- NPI 1245907302
NC
-
- Federally Qualified Health Center (FQHC)
- Brevard, NC
- NPI 1396414488
NC
-
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1437593787
NC
-
- Federally Qualified Health Center (FQHC)
- Waynesville, NC
- NPI 1598432643
NC
-
- Federally Qualified Health Center (FQHC)
- Waynesville, NC
- NPI 1740959741
NC
-
- Federally Qualified Health Center (FQHC)
- Columbus, NC
- NPI 1750757803
NC
-
- Federally Qualified Health Center (FQHC)
- Waynesville, NC
- NPI 1962171041
NC
-
- Community/Behavioral Health Agency
- Sylva, NC
- NPI 1366462897
NC
-
- Federally Qualified Health Center (FQHC)
- Brevard, NC
- NPI 1750144119
-
- Federally Qualified Health Center (FQHC)
- Arden, NC
- NPI 1912324740
-
- Federally Qualified Health Center (FQHC)
- Spindale, NC
- NPI 1669803276
-
- Speech-Language Pathologist
- Asheville, NC
- NPI 1053409367
Mental Health
-
- Community/Behavioral Health Agency
- Waynesville, NC
- NPI 1427360791
-
- Community/Behavioral Health Agency
- Waynesville, NC
- NPI 1134587256
-
- Community/Behavioral Health Agency
- Brevard, NC
- NPI 1982043915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114000629 | NC | Practitioner - Mental Health Counselor | 2860920287 | Reassigns benefits to 15 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16565 | NC | MD | Pharmacist |
Practice roles
Locations
303 Airport Rd
Arden, NC 28704
Phone (828) 698-2979
9 W Summit Ave
Asheville, NC 28803
Phone (828) 348-5836
69 N Broad St
Brevard, NC 28712
Phone (828) 883-2708
29 W French Broad St
Ste 210
Brevard, NC 28712
Phone (828) 883-5550
29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550
264 Highway 19 S
Ste 4
Bryson City, NC 28713
Phone (828) 341-1060
490 Hospital Dr
Clyde, NC 28721
Phone (828) 213-9729
161 Walker St
Columbus, NC 28722
Phone (828) 894-2222
674 Highlands Rd
Franklin, NC 28734
Phone (828) 349-0001
220 5th Ave E
Hendersonvlle, NC 28792
Phone (828) 337-3372
628 7th Ave E
Hendersonvlle, NC 28792
Phone (828) 696-8263
709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255
209 Hospital Dr
Highlands, NC 28741
Phone (828) 482-6160
187 W Main St
Spindale, NC 28160
Phone (828) 288-2881
293 Hospital Rd
Ste B
Sylva, NC 28779
Phone (828) 631-8711
44 Bonnie Ln
Sylva, NC 28779
Phone (828) 339-3999
293 Hospital Rd
Ste C
Sylva, NC 28779
Phone (828) 477-4334
307 Broadview Rd
Waynesville, NC 28786
Phone (828) 452-9258
1207 East St
Waynesville, NC 28786
Phone (828) 456-2997
131 Walnut St
Waynesville, NC 28786
Phone (828) 456-8604
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16565 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
29 W French Broad St Ste 210
Brevard, NC 28712-4773
Mailing address
220 5TH Ave E
Hendersonville, NC 28792-4377
Phone (828) 692-4289
Other practice location 1
9 W Summit Ave
Asheville, NC 28803-0047
Phone (828) 670-8056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2024.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1386212652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 5TH AVE E",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287924377",
"telephone_number": "828-692-4289",
"fax_number": "828-696-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 W FRENCH BROAD ST STE 210",
"city": "BREVARD",
"state": "NC",
"postal_code": "287124773",
"telephone_number": "828-883-5550",
"fax_number": "828-883-5525"
}
],
"practiceLocations": [
{
"address_1": "9 W Summit Ave",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288030047",
"country_code": "US",
"telephone_number": "828-670-8056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSEAU",
"first_name": "TEAL",
"middle_name": "MARIE",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "16565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.