THERESA A DOUGLAS MS., LPC-T
NPI 1376971226
Counselor - Professional in Janesville, WI

Active since October 30, 2013PECOS EnrolledAccepts Medicare Assignment
4539 WOODGATE DR STE D, JANESVILLE, WI 53546(818) 208-4774 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Mar 20, 2025, Oct 7, 2024 and 1 more (4 updates tracked since 2024).

About Theresa A Douglas Ms., Lpc-t NPPES

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

THERESA A DOUGLAS MS., LPC-T (NPI 1376971226) is an individual professional provider in Janesville, Wisconsin and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376971226
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTHERESA A DOUGLASCredential: MS., LPC-T
Location Address4539 WOODGATE DR STE DJanesville, WI 53546-8205
Mailing Address4539 Woodgate Dr Ste DJanesville, WI 53546-8205 · (818) 208-4774
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 30, 2013
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1376971226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5662-125 (WI)
4539 WOODGATE DR STE D, Janesville, WI 53546

Secondary Practice Location 1

Location 1428 S Yellowstone DrMadison, WI 53719-1043 · Phone (818) 208-4774

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theresa A Douglas Ms., Lpc-t is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719325141
PECOS Enrollment IDI20240404002466
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

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

Counselor (Mental Health)
4539 WOODGATE DR STE D
JANESVILLE, WI 53546

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 Theresa Douglas's NPI number?

The NPI number for Theresa Douglas is 1376971226. It was assigned to this individual provider in the NPPES registry on October 30, 2013.

Where is Theresa Douglas located?

Theresa Douglas practices at 4539 Woodgate Dr Ste D, Janesville, WI 53546. The listed phone number is (818) 208-4774.

What is Theresa Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Theresa Douglas enrolled in Medicare?

Yes. Theresa Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Douglas accept?

Health plans from MercyCare Health Plans and Quartz list Theresa Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Douglas was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.