THERESA WADDELL MA, MS, CADC, MFTA
NPI 1669843710
Counselor - Addiction (Substance Use Disorder) in Elizabethtown, KY

Active since October 15, 2015
400 RING RD STE 155, ELIZABETHTOWN, KY 42701(844) 473-6378 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Waddell Ma, Ms, Cadc, Mfta NPPES

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

THERESA WADDELL MA, MS, CADC, MFTA (NPI 1669843710) is an individual addiction (substance use disorder) provider in Elizabethtown, Kentucky, licensed in Kentucky (118429) and active in the NPI registry since October 2015. She maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1669843710
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTHERESA WADDELLCredential: MA, MS, CADC, MFTA
Location Address400 RING RD STE 155Elizabethtown, KY 42701-8790
Mailing Address400 Ring Rd Ste 155Elizabethtown, KY 42701-8790 · (844) 473-6378
Sole ProprietorYes
Enumeration DateOctober 15, 2015
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1669843710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in KY · 118429
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 298308 (KY)
400 RING RD STE 155, Elizabethtown, KY 42701

Secondary Practice Location 1

Location 1910 2nd AveRockford, IL 61104-2162 · Phone (844) 473-6378

Other Providers at the Same Location NPPES 16

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

Peer Specialist
400 RING RD STE 155
ELIZABETHTOWN, KY 42701
Peer Specialist
400 RING RD STE 155
ELIZABETHTOWN, KY 42701
Peer Specialist
400 RING RD STE 155
ELIZABETHTOWN, KY 42701
Peer Specialist
400 RING RD STE 155
ELIZABETHTOWN, KY 42701
Peer Specialist
400 RING RD STE 155
ELIZABETHTOWN, KY 42701
Community/Behavioral Health
400 RING RD STE 155
ELIZABETHTOWN, KY 42701
Counselor (Addiction (Substance Use Disorder))
400 RING RD STE 155
ELIZABETHTOWN, KY 42701
Case Manager/Care Coordinator
400 RING RD STE 155
ELIZABETHTOWN, KY 42701

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 Waddell's NPI number?

The NPI number for Theresa Waddell is 1669843710. It was assigned to this individual provider in the NPPES registry on October 15, 2015.

Where is Theresa Waddell located?

Theresa Waddell practices at 400 Ring Rd Ste 155, Elizabethtown, KY 42701. The listed phone number is (844) 473-6378.

What is Theresa Waddell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Theresa Waddell was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.