Teresa M Persson, MS LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2034 Issued in OR

Practice address

1590 SE N St Ste D
Grants Pass, OR 97526-3905

Phone

(541) 621-2686

NPI assigned

Mar 20, 2007

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1689799348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 SE N ST STE D",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263905",
            "telephone_number": "541-621-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 SE N ST STE D",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263905",
            "telephone_number": "541-621-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSSON",
        "first_name": "TERESA",
        "middle_name": "M",
        "credential": "MS LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Chree Leeann Perreard
• Eric Matthew Perry, M.D.
• Bradley Personius, MD
• Carol Michelle Personius, O.T.R./L
• Jordan Personius, PA
• Peter Shelby Bogard DO
• Marla Peters, MD
• Katie Petersen, CPM, LDM
• Paula M Peterson, LMT
• Samuel Nolan Peterson, AU.D.

• Professional Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.