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TERESA WILIE KENNISON MS, LPC
NPI 1083919179
Counselor - Mental Health in Tahlequah, OK

Active since January 20, 2011PECOS Enrolled
113 W SHAWNEE ST, TAHLEQUAH, OK 74464(580) 579-3620 Get Directions Write a Review

NPPES record last updated: January 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 11, 2026, May 28, 2025 (2 updates tracked since 2025).

About Teresa Wilie Kennison Ms, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA WILIE KENNISON MS, LPC (NPI 1083919179) is an individual mental health provider in Tahlequah, Oklahoma, licensed in Oklahoma (5568) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083919179
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERESA WILIE KENNISONCredential: MS, LPC
Location Address113 W SHAWNEE STTahlequah, OK 74464-3623
Mailing Address113 W Shawnee StTahlequah, OK 74464-3623 · (580) 579-3620
Phone(580) 579-3620
Sole ProprietorYes
Enumeration DateJanuary 20, 2011
Last NPPES UpdateJanuary 11, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2026
✔ NPI 1083919179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 5568
113 W SHAWNEE ST, Tahlequah, OK 74464
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Wilie Kennison Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

KARRI LOCUST
Case Manager/Care Coordinator
113 W SHAWNEE ST
TAHLEQUAH, OK 74464
Cherokee County (918) 825-1405
KATY LEIGH WALLACE
Case Manager/Care Coordinator
113 W SHAWNEE ST
TAHLEQUAH, OK 74464
Cherokee County (918) 825-1405

Frequently Asked Questions

What is Teresa Kennison's NPI number?

The NPI number assigned to this healthcare provider is 1083919179, enumerated as an "individual" on January 20, 2011.

Where is the provider located?

The provider is located at 113 W SHAWNEE ST TAHLEQUAH, OK 74464 and the phone number is (580) 579-3620.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does Teresa Kennison accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to verify.