Teresa Jean Juga, CAPSW, MSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

134866 Issued in WI

Practice address

N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602

Phone

(715) 799-3835

Fax

(715) 799-5056

NPI assigned

Jun 15, 2023

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Teresa Jean Juga Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1902581242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2150 KESAEHKAHTEK RD",
            "city": "GRESHAM",
            "state": "WI",
            "postal_code": "541289602",
            "telephone_number": "715-799-3035",
            "fax_number": "715-799-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2150 KESAEHKAHTEK RD",
            "city": "GRESHAM",
            "state": "WI",
            "postal_code": "541289602",
            "telephone_number": "715-799-3835",
            "fax_number": "715-799-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUGA",
        "first_name": "TERESA",
        "middle_name": "JEAN",
        "credential": "CAPSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "134866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "JUGA",
            "middle_name": "JEAN",
            "credential": "CAPSW, MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Natalie Cornelius, 15990132 CSAC
• Gresham School District
• Ashley Hebert
• Kyla Jean Heiman, RN
• Dominic David Hermann
• Brian A Krause, COTA
• Annette Pauline Latender, CSAC
• Jennifer Lidbury
• Maehnowesekiyah Wellness Center
• Jennifer Mavis

• Addiction (Substance Use Disorder) Counselor in Gresham, WI
• Providers in Gresham, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.