THERESA N OTU LPC
NPI 1770853574
Counselor - Professional in Kenosha, WI
About Theresa N Otu Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA N OTU LPC (NPI 1770853574) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (5157-125) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa N Otu Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresa Otu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53216
- Reassigned Medicare billing, Wisconsin enrollment
- 52 clinicians in this Medicare group
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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENOSHA, WI 53142
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 Otu's NPI number?
The NPI number for Theresa Otu is 1770853574. It was assigned to this individual provider in the NPPES registry on January 10, 2012.
Where is Theresa Otu located?
Theresa Otu practices at 10117 74th St Suite 100, Kenosha, WI 53142. The listed phone number is (262) 697-8268.
What is Theresa Otu's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Theresa Otu enrolled in Medicare?
Yes. Theresa Otu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresa Otu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Otu reassigns Medicare benefits to Independent Physicians Of Wisconsin, LLC (Milwaukee, WI). 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 Theresa Otu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Otu accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Theresa Otu 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 Otu was last updated on August 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Theresa N Otu, LPC · NPI 1770853574
Professional provider in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since January 10, 2012.
## Identity
- **NPI:** 1770853574 (Entity type: Individual)
- **Enumerated:** January 10, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 5157-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 10117 74TH ST, SUITE 100, Kenosha, WI 53142-7533
- **Phone:** (262) 697-8268
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Independent Physicians Of Wisconsin, LLC (NPI 1871975920, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1770853574) · Data from the CMS NPPES public registry.