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TERI M ROSA LPC
NPI 1508145897
Counselor - Professional in Bay City, MI

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
201 MULHOLLAND ST, BAY CITY, MI 48708(989) 895-2300(989) 497-1545 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Teri M Rosa Lpc NPPES

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

TERI M ROSA LPC (NPI 1508145897) is an individual professional provider in Bay City, Michigan, licensed in Michigan (6401006345) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1508145897
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTERI M ROSACredential: LPC
Location Address201 MULHOLLAND STBay City, MI 48708-7693
Mailing Address201 Mulholland StBay City, MI 48708-7693 · (989) 895-2300 · Fax (989) 497-1545
Phone(989) 895-2300
Fax(989) 497-1545
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 4, 2011
Last NPPES UpdateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1508145897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401006345
201 MULHOLLAND ST, Bay City, MI 48708
Open in Google Maps ↗

Other Names 1

Other Name (5)Teri M Rosa-southworth

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

Teri M Rosa Lpc 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 ID345681342
PECOS Enrollment IDI20240508001422
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 Teri Rosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bay-Arenac Behavioral Health
Same address
Mental Health (Including Community Mental Health Center)
201 MULHOLLAND
Bay City, MI 48708
  • Reassigned Medicare billing, Michigan enrollment
  • 34 clinicians in this Medicare group
NPI 1154439438 (989) 895-2300

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

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.

SAMANTHA FOEHRINGER
Counselor (Professional)
201 MULHOLLAND ST
BAY CITY, MI 48708
Bay County (989) 895-2300
MICHELLA HARLESS
Social Worker (Clinical)
201 MULHOLLAND ST
BAY CITY, MI 48708
Bay County (989) 895-2300
MS. LISA KATHERINE LUBOLD LLMSW
Social Worker
201 MULHOLLAND ST
BAY CITY, MI 48708
Bay County (989) 895-2300
LINDA VENCES LPN
Licensed Practical Nurse
201 MULHOLLAND ST
BAY CITY, MI 48708
Bay County (989) 895-2351
JANET R. HOOL
Social Worker (Clinical)
201 MULHOLLAND ST
BAY CITY, MI 48708
Bay County (989) 895-2300
TROY BALZER
Social Worker (Clinical)
201 MULHOLLAND ST
BAY CITY, MI 48708
Bay County (989) 895-2300
ELIZABETH PICKENS
Social Worker (Clinical)
201 MULHOLLAND ST
BAY CITY, MI 48708
Bay County (989) 895-2300
GENEVIEVE ROSE LEWIS LLBSW
Social Worker
201 MULHOLLAND ST
BAY CITY, MI 48708
Bay County (989) 895-2300

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 Teri Rosa's NPI number?

The NPI number for Teri Rosa is 1508145897. It was assigned to this individual provider in the NPPES registry on August 4, 2011. The provider is also known as Teri M Rosa-Southworth.

Where is Teri Rosa located?

Teri Rosa practices at 201 Mulholland St, Bay City, MI 48708. The listed phone number is (989) 895-2300.

What is Teri Rosa's specialty?

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

Is Teri Rosa enrolled in Medicare?

Yes. Teri Rosa 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 Teri Rosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teri Rosa reassigns Medicare benefits to Bay-Arenac Behavioral Health (Bay City, MI). 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 Teri Rosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Teri Rosa was last updated on May 2, 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.