Individual provider Active NPI

Teresa A Ceselski, MS, LPC

  • Professional Counselor
  • Marshall, MO
National Provider Identifier
1417948845
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002125 Issued in MO
Practice address
1701 S Miami Ave
302
Marshall, MO 65340-3231
Phone
(660) 831-1766
Fax
(660) 831-1766
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002125 MO Primary

Addresses

Primary practice location

1701 S Miami Ave
302
Marshall, MO 65340-3231

Mailing address

PO Box 814
Marshall, MO 65340-0814

Other practice location 1

3401 Berrywood Dr
Columbia, MO 65201-8372
Phone (573) 777-8330

Other identifiers 1

IdentifierTypeStateIssuer
498605708MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20240722003734 MO Practitioner - Mental Health Counselor 5597201921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

105 E Ash St
Burrell Behavioral Health
Columbia, MO 65203-4094
Phone (573) 777-7530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Burrell, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Burrell, Inc. CurrentSince Jul 15, 2024 Accepting new patients

Locations

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

105 E Ash St
Columbia, MO 65203
Phone (573) 777-7530

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

1300 E Bradford Pkwy
#H
Springfield, MO 65804

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1417948845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653400814",
            "fax_number": "660-831-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S MIAMI AVE",
            "address_2": "302",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403231",
            "telephone_number": "660-831-1766",
            "fax_number": "660-831-1766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Berrywood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018372",
            "country_code": "US",
            "telephone_number": "573-777-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CESELSKI",
        "first_name": "TERESA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "002125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498605708",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

Verify at the official NPI Registry.