Teresa Jayne Connell, LPC, ATR-BC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C8877 Issued in OR

Practice address

648 Hueners LN Unit F
Jacksonville, OR 97530-9023

Phone

(512) 459-3353

Fax

(512) 459-1658

NPI assigned

Sep 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Teresa J Connell Other name

Medicare fee-for-service enrollment

Enrolled in OR

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bridges to Wellbeing LLCGroup PAC ID 1951785054, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Bridges to Wellbeing LLC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1710570783
  Medicare reassignment Care Compare group NPD
• Helping Hand Home for Children

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Austin, TX
  • NPI 1902029200
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1598916231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HUENERS LN UNIT F",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309023",
            "telephone_number": "512-213-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 HUENERS LN UNIT F",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309023",
            "telephone_number": "512-459-3353",
            "fax_number": "512-459-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "TERESA",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "LPC, ATR-BC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C8877",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "CONNELL",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "LPC, ATRBC, NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brodie Dental LLC
• Scott W Brodie, D.M.D.
• William R. Brodie, D.M.D.
• Joseph Budziszewski, LMT
• Kimberly Ann Caffrey, RN
• Steven Scott Crowthers, CRNA
• Dani Knight Nutrition
• Julie D. Danielson, OD
• Denise Alane Davis, FNP-C
• Aubrey Douglas

• Mental Health Counselor in Jacksonville, OR
• Providers in Jacksonville, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.
• 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.