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TERESA S. DEMENT LPCC, LICDC
NPI 1457890097
Counselor - Mental Health in Logan, OH

Active since February 15, 2017PECOS EnrolledAccepts Medicare Assignment
1220 W HUNTER ST, LOGAN, OH 43138(740) 205-2999(740) 216-4501 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2019, Aug 10, 2019, May 7, 2018 and 1 more (4 updates tracked since 2017).

About Teresa S. Dement Lpcc, Licdc NPPES

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

TERESA S. DEMENT LPCC, LICDC (NPI 1457890097) is an individual mental health provider in Logan, Ohio, licensed in Ohio (E.1901231) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457890097
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERESA S. DEMENTCredential: LPCC, LICDC
Location Address1220 W HUNTER STLogan, OH 43138-1012
Mailing Address1220 W Hunter StLogan, OH 43138-1012 · (740) 205-2999 · Fax (740) 216-4501
Phone(740) 205-2999
Fax(740) 216-4501
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 15, 2017
Last NPPES UpdateAugust 12, 20194 updates tracked since enumeration
✔ NPI 1457890097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.1901231
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161833 (OH)
1220 W HUNTER ST, Logan, OH 43138
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa S. Dement Lpcc, Licdc 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 ID9931513900
PECOS Enrollment IDI20240201004150
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.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Dement reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Common Bond Counseling, LLC
Same address
Addiction (Substance Use Disorder)
1220 W HUNTER ST
Logan, OH 43138
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1326542507 (740) 205-2999

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

Other Providers at the Same Location NPPES 2

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

COMMON BOND COUNSELING, LLC
Counselor (Addiction (Substance Use Disorder))
1220 W HUNTER ST
LOGAN, OH 43138
Hocking County (740) 205-2999
KAITLYN MARIE KILBARGER
Counselor (Mental Health)
1220 W HUNTER ST
LOGAN, OH 43138
Hocking County (740) 205-2999

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 Teresa Dement's NPI number?

The NPI number for Teresa Dement is 1457890097. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Teresa Dement located?

Teresa Dement practices at 1220 W Hunter St, Logan, OH 43138. The listed phone number is (740) 205-2999.

What is Teresa Dement's specialty?

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

Is Teresa Dement enrolled in Medicare?

Yes. Teresa Dement 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.

Which organization bills Medicare for Teresa Dement's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Dement reassigns Medicare benefits to Common Bond Counseling, LLC (Logan, OH). The 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 Teresa Dement's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Dement accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 6 other insurers list Teresa Dement 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 Teresa Dement was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.