Individual provider Active NPI

Teal Marie Russeau, LCMHC

  • Mental Health Counselor
  • Brevard, NC
National Provider Identifier
1386212652
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16565 Issued in NC
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.

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250114000629 NC Practitioner - Mental Health Counselor 2860920287 Reassigns benefits to 15 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16565NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Meridian Behavioral Health Services, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
Carolina Rehabilitation Specialists, Inc. Mental Health CurrentSince Jun 1, 2021 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Nov 25, 2024 Accepting new patients
Meridian Behavioral Health Services, Inc. Current Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Meridian Behavioral Health Services CurrentSince Nov 25, 2024 Accepting new patients
Meridian Behavioral Health Services, Inc. Past Accepting new patients

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16565 NC Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.