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TERRI O'DONNELL LPC SASA LLC
NPI 1356630040
Counselor - Mental Health in Monona, WI

Active since April 03, 2011
802 W BROADWAY, SUITE 206, MONONA, WI 53713(608) 347-5015 Get Directions Write a Review

NPPES record last updated: April 3, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Terri O'donnell Lpc Sasa Llc NPPES

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

TERRI O'DONNELL LPC SASA LLC (NPI 1356630040) is a healthcare organization registered as a mental health in Monona, Wisconsin and active in the NPI registry since April 2011. The organization lists Teresa Anne O'donnell, Owner, as its authorized official.

NPPES Registry Identity

NPI1356630040
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTERRI O'DONNELL LPC SASA LLC
Location Address802 W BROADWAY, SUITE 206Monona, WI 53713-1821
Mailing Address2828 Nashua LnCottage Grove, WI 53527-9551 · (608) 347-5015
Phone(608) 347-5015
Organization SubpartNo
Authorized OfficialTeresa Anne O'donnellOwner · (608) 347-5015
Enumeration DateApril 3, 2011
✔ NPI 1356630040 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 WI · 4013-125
802 W BROADWAY, Monona, WI 53713
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terri O'donnell Lpc Sasa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Terri O'donnell Lpc Sasa LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Teresa O'donnell, LPC
Mental Health Counselor
NPI 1104158575
1409 EMIL ST
Madison, WI 53713
(608) 283-6426
✔ PECOS✔ Accepts Medicare3.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terri O'donnell Lpc Sasa LLC's NPI number?

The NPI number for Terri O'donnell Lpc Sasa LLC is 1356630040. It was assigned to this organization in the NPPES registry on April 3, 2011.

Where is Terri O'donnell Lpc Sasa LLC located?

Terri O'donnell Lpc Sasa LLC is located at 802 W Broadway Suite 206, Monona, WI 53713. The listed phone number is (608) 347-5015.

What is Terri O'donnell Lpc Sasa LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Terri O'donnell Lpc Sasa LLC enrolled in Medicare?

Yes. Terri O'donnell Lpc Sasa LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Terri O'donnell Lpc Sasa LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Terri O'donnell Lpc Sasa LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Terri O'donnell Lpc Sasa LLC was last updated on April 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.