Theresa J Canada, ED.D., NCC,LPC,DCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

000399 Issued in CT

Practice address

115 Boulevard Dr
Danbury, CT 06810-7256

Phone

(203) 293-9912

NPI assigned

Dec 28, 2012

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 CT

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

Specialty

Mental Health Counselor

Education

University of Rochester School of Medicine and Dentistry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stokes Counseling Services LLCGroup PAC ID 9638504202, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stokes Counseling Services LLC

  • Professional Counselor
  • Naugatuck, CT
  • NPI 1134541469
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1962748517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LA SALLE ST",
            "address_2": "15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274719",
            "telephone_number": "212-663-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BOULEVARD DR",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107256",
            "telephone_number": "203-293-9912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 La Salle St Apt 15B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274723",
            "country_code": "US",
            "telephone_number": "212-663-4423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANADA",
        "first_name": "THERESA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ED.D., NCC,LPC,DCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Cambronero, BA
• Anthony Joseph Camillo, DMD
• Donna Raye Campbell, LCSW
• Eileen Campbell, APRN
• Tamara Stacy-Ann Campbell
• Patricia Cannizzaro, LCSW
• Kristin R Canty, LMSW
• Adrienne I Caponera, MS CASAC
• Jenna Capote
• Laura Capri, LCSW

• Professional Counselor in Danbury, CT
• Providers in Danbury, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.