DR. TERESA M. NELSEN PH.D.
NPI 1396841359
Marriage & Family Therapist in Broomfield, CO

Q: What is Teresa Nelsen's NPI number?

The NPI number for Teresa Nelsen is 1396841359. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Teresa Nelsen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Nelsen was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 16, 2006PECOS EnrolledAccepts Medicare Assignment

12303 AIRPORT WAY STE 125, BROOMFIELD, CO 80021(970) 310-3406 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Teresa M. Nelsen Ph.d. NPPES

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

DR. TERESA M. NELSEN PH.D. (NPI 1396841359) is an individual marriage & family therapist in Broomfield, Colorado, licensed in Colorado (MFT.0002530) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1396841359

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. TERESA M. NELSENCredential: PH.D.

Location Address12303 AIRPORT WAY STE 125Broomfield, CO 80021-2729

Mailing Address5519 High Meadow Dr.Manhattan, KS 66503 · (785) 317-4780

Phone(970) 310-3406

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 16, 2006

Last NPPES UpdateApril 5, 2024

NPPES CertifiedApril 5, 2024

✔ NPI 1396841359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CO · MFT.0002530✔ Licensed in KS · 286

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

12303 AIRPORT WAY STE 125, Broomfield, CO 80021

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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

Dr. Teresa M. Nelsen Ph.d. 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 ID1052752029

PECOS Enrollment IDI20240508004131

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 15

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

MS. MONICA ISABEL ROMERO LCSW

Social Worker (Clinical)