TERESA LATOURELLE
NPI 1790150795
Counselor - Mental Health in Santa Rosa, CA

Active since December 02, 2015PECOS EnrolledAccepts Medicare Assignment
3554 ROUND BARN BLVD, SANTA ROSA, CA 95403(707) 571-3842 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Dec 2, 2015 (2 updates tracked since 2015).

About Teresa Latourelle NPPES

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

TERESA LATOURELLE (NPI 1790150795) is an individual mental health provider in Santa Rosa, California, licensed in California (LMFT90199) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790150795
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERESA LATOURELLE
Location Address3554 ROUND BARN BLVDSanta Rosa, CA 95403-0929
Mailing Address3554 Round Barn BlvdSanta Rosa, CA 95403-0929 · (707) 571-3842
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 2, 2015
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPI 1790150795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · LMFT90199
3554 ROUND BARN BLVD, Santa Rosa, CA 95403

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Teresa Latourelle 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 ID5991228694
PECOS Enrollment IDI20250402002479
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 20

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

Psychiatry & Neurology (Psychiatry)
3554 ROUND BARN BLVD
SANTA ROSA, CA 95403
Pharmacist
3554 ROUND BARN BLVD
SANTA ROSA, CA 95403
Psychologist
3554 ROUND BARN BLVD, 100
SANTA ROSA, CA 95403
Social Worker (Clinical)
3554 ROUND BARN BLVD, SUITE 100
SANTA ROSA, CA 95403
Psychologist
3554 ROUND BARN BLVD
SANTA ROSA, CA 95403
Psychologist
3554 ROUND BARN BLVD
SANTA ROSA, CA 95403
Social Worker (Clinical)
3554 ROUND BARN BLVD
SANTA ROSA, CA 95403
Psychiatry & Neurology (Psychiatry)
3554 ROUND BARN BLVD
SANTA ROSA, CA 95403

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 Latourelle's NPI number?

The NPI number for Teresa Latourelle is 1790150795. It was assigned to this individual provider in the NPPES registry on December 2, 2015.

Where is Teresa Latourelle located?

Teresa Latourelle practices at 3554 Round Barn Blvd, Santa Rosa, CA 95403. The listed phone number is (707) 571-3842.

What is Teresa Latourelle's specialty?

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

Is Teresa Latourelle enrolled in Medicare?

Yes. Teresa Latourelle 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.

When was this NPI record last updated?

The NPPES record for Teresa Latourelle was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.