Theresa Patenaude, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8419-125 Issued in WI

Practice address

710 French St Ste B
Peshtigo, WI 54157-1242

Phone

(920) 591-0029

NPI assigned

May 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rays of Hope Counseling Center

  • Professional Counselor
  • Coleman, WI
  • NPI 1245804210
  NPD Authorized official

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1508430422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 FRENCH ST STE B",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571242",
            "telephone_number": "920-591-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 FRENCH ST STE B",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571242",
            "telephone_number": "920-591-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATENAUDE",
        "first_name": "THERESA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223746",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8419-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cami Rose Olson, PTA
• Walid Omer, M.D
• Anna Jo Oninski, OTA
• Jeffrey W. Orear, D.D.S.
• Carol L Orwig, FNPC
• Peshtigo Health Care, LLC
• Peshtigo Hometown Pharmacy LLC
• Peshtigo School District
• Faith C Pristel-Miller
• Rennes Assisted Living Corp

• Professional Counselor in Peshtigo, WI
• Providers in Peshtigo, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.