TERESA R WATSON
NPI 1871976571
Counselor - Mental Health in San Diego, CA

Q: What is Teresa Watson's NPI number?

The NPI number for Teresa Watson is 1871976571. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Q: What is Teresa Watson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teresa Watson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 30, 2015PECOS Enrolled

734 10TH AVE, SAN DIEGO, CA 92101(619) 239-4663 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Nov 1, 2017 (2 updates tracked since 2017).

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About Teresa R Watson NPPES

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

TERESA R WATSON (NPI 1871976571) is an individual mental health provider in San Diego, California, licensed in California (PCCI2847) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1871976571

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTERESA R WATSON

Location Address734 10TH AVESan Diego, CA 92101-6502

Mailing Address734 10th AveSan Diego, CA 92101-6502 · (619) 239-4663

Phone(619) 239-4663

Sole ProprietorNo

Enumeration DateJune 30, 2015

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1871976571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · PCCI2847

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PCC12847 (CA)

734 10TH AVE, San Diego, CA 92101

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Secondary Practice Location 1

Location 13132 Jefferson StSan Diego, CA 92110-4421 · Phone (619) 683-3100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa R Watson 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.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca

423 mi

Addiction Medicine

4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054

Reassigned Medicare billing, California enrollment
1,607 clinicians in this Medicare group

NPI 1972138238 (323) 205-7088

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.

ALISSA ANN MAITINO M.A.

Counselor (Mental Health)