Teresa Cheadle, LICDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LICDC.162606 Issued in OH

Practice address

24865 US Highway 23 S
Circleville, OH 43113-9189

Phone

(404) 974-1687

NPI assigned

Jun 21, 2018

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

Enrolled in OH

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

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.

• Lets in Mental Health & Recovery LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1194563908

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Live for Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Circleville, OH
  • NPI 1366210239
  NPD (past) Authorized official
• Lets in Mental Health & Recovery LLC

  • Community/Behavioral Health Agency
  • Cincinnati, OH
  • NPI 1033947650

  Addiction (Substance Use Disorder)

  NPD
• Scioto Paint Valley Mental Health Center

  • Multi-Specialty Clinic/Center
  • Chillicothe, OH
  • NPI 1255308136
  NPD (past)
• Scioto Paint Valley Mental Health Center

  • Primary Care Clinic/Center
  • Chillicothe, OH
  • NPI 1790116747
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1861986994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24865 US HIGHWAY 23 S",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24865 US HIGHWAY 23 S",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139189",
            "telephone_number": "404-974-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEADLE",
        "first_name": "TERESA",
        "credential": "LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.162554",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chamberlain Family Therapy
• Connie Irene Chanberlain, MSW,LISW
• John Michael Chancey
• Charles P. Bradley'S Constance Care
• Harmeet Singh Chawla, MD
• Jenni Cheek, SLP
• Bo Cheng, DO
• Susan Choe, DO
• Angela Church
• Lauren Cichocki

• Addiction (Substance Use Disorder) Counselor in Circleville, OH
• Providers in Circleville, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.