Theresa Cloyd, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-21783 Issued in AZ

Practice address

3707 E Southern Ave Ste 2020
Mesa, AZ 85206-6213

Phone

(480) 442-0829

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Rider Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Escalera Health LLCGroup PAC ID 1951650985, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Escalera Health LLC

  dba Entune Behavioral Health

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1487146171

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Healthy Minds Counseling

  • Professional Counselor
  • Mesa, AZ
  • NPI 1366133902

  Mental Health

  NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Professional

  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1386281335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 E DEWBERRY AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061806",
            "telephone_number": "480-694-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE STE 2020",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066213",
            "telephone_number": "480-442-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOYD",
        "first_name": "THERESA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-21783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "RIDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glenn Charles Clouse, PSY.D.
• Jordan Clouse, PT
• Russell Leroy Clouse, DC
• Tori Bailey Clouse, CF-SLP
• Nathan John Cloutier, NP-C
• CM Az Pacs 2 PC
• CM Healthcare LLC
• Hillary Lynn Coahran, PHARM.D.
• Jason Michael Cobb, M.D.
• Brian W Cobbs, N.P.

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.