THERESA ELIZABETH PETROSKY LCPC
NPI 1275187080
Counselor in Damariscotta, ME

Q: What is Theresa Petrosky's NPI number?

The NPI number for Theresa Petrosky is 1275187080. It was assigned to this individual provider in the NPPES registry on July 30, 2019. The provider is also known as Theresa Elizabeth Jordan.

Q: What is Theresa Petrosky's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Petrosky was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2019PECOS Enrolled

35 MILES ST, DAMARISCOTTA, ME 04543(207) 563-1234 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2022, Aug 23, 2021, Jul 30, 2019 (3 updates tracked since 2019).

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About Theresa Elizabeth Petrosky Lcpc NPPES

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

THERESA ELIZABETH PETROSKY LCPC (NPI 1275187080) is an individual counselor in Damariscotta, Maine, licensed in Maine (CC6723) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275187080

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameTHERESA ELIZABETH PETROSKYCredential: LCPC

Location Address35 MILES STDamariscotta, ME 04543-4047

Mailing Address11036 Folkstone Dr # OkYukon, OK 73099-8050 · (405) 922-6695

Phone(207) 563-1234

Sole ProprietorYes

Enumeration DateJuly 30, 2019

Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration

NPPES CertifiedAugust 24, 2022

✔ NPI 1275187080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in ME · CC6723

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 10200 (OK)

35 MILES ST, Damariscotta, ME 04543

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Other Names 1

Former Name (1)Theresa Elizabeth Jordan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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)

Theresa Elizabeth Petrosky Lcpc 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 NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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