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TERESA W SYVERSEN CADC I
NPI 1871622332
Counselor - Addiction (Substance Use Disorder) in Tillamook, OR

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
906 MAIN AVE, TILLAMOOK, OR 97141(503) 842-8201(503) 815-1870 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Teresa W Syversen Cadc I NPPES

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

TERESA W SYVERSEN CADC I (NPI 1871622332) is an individual addiction (substance use disorder) provider in Tillamook, Oregon and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871622332
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTERESA W SYVERSENCredential: CADC I
Location Address906 MAIN AVETillamook, OR 97141-3816
Mailing Address9875 Chance RdTillamook, OR 97141 · (503) 842-8201 · Fax (503) 815-1870
Phone(503) 842-8201
Fax(503) 815-1870
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1871622332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
906 MAIN AVE, Tillamook, OR 97141
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Other Names 1

Other Name (5)Terri W Syversen Cadc I

Other Identifiers 2

Medicare ID-Type UnspecifiedOOOOWCGKJOR · Mental Health
Medicaid197749OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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

Teresa W Syversen Cadc I 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 ID8527504083
PECOS Enrollment IDI20240722000996
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 Teresa Syversen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tillamook Family Counseling Center
Same address
Mental Health (Including Community Mental Health Center)
906 MAIN AVE
Tillamook, OR 97141
  • Reassigned Medicare billing, Oregon enrollment
  • 8 clinicians in this Medicare group
NPI 1659380145 (503) 842-8201

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 20

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

KATHY J SIAS
Counselor (Mental Health)
906 MAIN AVE
TILLAMOOK, OR 97141
Tillamook County (503) 842-8201
DUSTIN RENEE YOUNG MSW
Counselor (Mental Health)
906 MAIN AVE
TILLAMOOK, OR 97141
Tillamook County (503) 842-8201
JODEE RIDDERBUSCH CADC I
Counselor (Addiction (Substance Use Disorder))
906 MAIN AVE
TILLAMOOK, OR 97141
Tillamook County (503) 842-8201
GARY D FRUNZ MA
Counselor (Mental Health)
906 MAIN AVE
TILLAMOOK, OR 97141
Tillamook County (503) 842-8201
HILDA MARIA FERNANDEZ DE ORTEGA
Social Worker
906 MAIN AVE
TILLAMOOK, OR 97141
Tillamook County (503) 815-5437
TILLAMOOK FAMILY COUNSELING CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
906 MAIN AVE
TILLAMOOK, OR 97141
Tillamook County (503) 842-8201
MR. STEVEN DOUG LARZELIER LCSW
Social Worker (Clinical)
906 MAIN AVE
TILLAMOOK, OR 97141
Tillamook County (503) 842-8201
CHRIS MCCLURE
Case Manager/Care Coordinator
906 MAIN AVE
TILLAMOOK, OR 97141
Tillamook County (503) 842-8201

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 Syversen's NPI number?

The NPI number for Teresa Syversen is 1871622332. It was assigned to this individual provider in the NPPES registry on March 2, 2007. The provider is also known as Terri W Syversen Cadc I.

Where is Teresa Syversen located?

Teresa Syversen practices at 906 Main Ave, Tillamook, OR 97141. The listed phone number is (503) 842-8201.

What is Teresa Syversen's specialty?

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

Is Teresa Syversen enrolled in Medicare?

Yes. Teresa Syversen 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 Teresa Syversen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Syversen reassigns Medicare benefits to Tillamook Family Counseling Center (Tillamook, OR). 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 Teresa Syversen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Syversen accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Teresa Syversen 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 Teresa Syversen was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.