Theresa Ann Dudley, LCSW, CADC1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

01-11-18 Issued in OR

Practice address

1904 Elm St
Suite 5
Forest Grove, OR 97116-2553

Phone

(503) 803-0601

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

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.

• Columbia Community Mental Health

  • Addiction (Substance Use Disorder) Counselor
  • Saint Helens, OR
  • NPI 1861617359
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861619264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971160902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 ELM ST",
            "address_2": "SUITE 5",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162553",
            "telephone_number": "503-803-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "LCSW, CADC1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3637",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "01-11-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonardo Daniel Dominguez
• Donald a. Compton DMD, P.C.
• Gage Matthew Draper, OD
• Sydney Rose Dreyer
• Kirstie Du
• Kenneth Warren Eakland, O.D.
• Mindy Eaves, BS
• Karen Ann Eggers, MSW
• Robert James Eichner, MD
• Stephanie Eilert

• Addiction (Substance Use Disorder) Counselor in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.