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: July 19, 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
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

Other Names 1

Other Name (5)Terri W Syversen Cadc I

Other Identifiers 2

Medicare ID-Type UnspecifiedOOOOWCGKJOR · Mental Health
Medicaid197749OR

Accepted Insurance

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 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.

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
906 MAIN AVE
TILLAMOOK, OR 97141
Counselor (Mental Health)
906 MAIN AVE
TILLAMOOK, OR 97141
Psychiatry & Neurology (Psychiatry)
906 MAIN AVE
TILLAMOOK, OR 97141
Psychiatry & Neurology (Psychiatry)
906 MAIN AVE
TILLAMOOK, OR 97141
Clinic/Center (Rehabilitation, Substance Use Disorder)
906 MAIN AVE
TILLAMOOK, OR 97141
Counselor (Mental Health)
906 MAIN AVE
TILLAMOOK, OR 97141
Counselor (Mental Health)
906 MAIN AVE
TILLAMOOK, OR 97141
Counselor (Mental Health)
906 MAIN AVE
TILLAMOOK, OR 97141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871622332, enumerated as an "individual" on March 02, 2007.

The provider is located at 906 MAIN AVE TILLAMOOK, OR 97141 and the phone number is (503) 842-8201.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to verify.