Katina Theodorou, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7921 Issued in MA

Practice address

29 Main St
Leominster, MA 01453-5546

Phone

(978) 786-9660

Fax

(321) 805-4156

NPI assigned

Jan 22, 2009

Last updated

May 18, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1770721284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MAIN ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535546",
            "telephone_number": "978-786-9660",
            "fax_number": "321-805-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MAIN ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535546",
            "telephone_number": "978-786-9660",
            "fax_number": "321-805-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOROU",
        "first_name": "KATINA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel George Terk, MD
• Rebecca Marie Tervo, DPT
• Alexandra Terwilliger, FNP
• Alisa Testa, LICSW
• Jillian Sarah Theberge, LCSW
• Gene Theriault
• Cathrine Jane Thibault, LMT
• Samantha Marie Thibeault
• Thomas J. Scornavacca, Jr.
• Babatunde O. Thomas, M.D.

• Mental Health Counselor in Leominster, MA
• Providers in Leominster, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.