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THERESA N OTU LPC
NPI 1770853574
Counselor - Professional in Kenosha, WI

Active since January 10, 2012PECOS Enrolled
10117 74TH ST, SUITE 100, KENOSHA, WI 53142(262) 697-8268 Get Directions Write a Review

NPPES record last updated: August 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1770853574
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTHERESA N OTUCredential: LPC
Location Address10117 74TH ST, SUITE 100Kenosha, WI 53142-7533
Mailing Address7252 91st AveKenosha, WI 53142-8253 · (502) 412-4564
Phone(262) 697-8268
Sole ProprietorNo
Enumeration DateJanuary 10, 2012
Last NPPES UpdateAugust 31, 2013
✔ NPI 1770853574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 5157-125✔ Licensed in KY · KY-1567
10117 74TH ST, Kenosha, WI 53142
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa N Otu Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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

SUSAN SCHMIDT
Counselor (Addiction (Substance Use Disorder))
10117 74TH ST, SUITE 100
KENOSHA, WI 53142
Kenosha County (262) 697-8268
KENOSHA RADIOLOGY CENTER LLC.
Clinic/Center (Radiology)
10117 74TH ST, SUITE 150
KENOSHA, WI 53142
Kenosha County (262) 697-7770
JANE CARY PALLIN M.D.
Specialist
10117 74TH ST, SUITE 150
KENOSHA, WI 53142
Kenosha County (262) 697-7770
JOHN S PALLIN M.D.
Specialist
10117 74TH ST, SUITE 150
KENOSHA, WI 53142
Kenosha County (262) 697-7770

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.

What insurance does Theresa Otu accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and Medica 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 12 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.