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DR. THERESA J CANADA ED.D., NCC,LPC,DCC
NPI 1962748517
Counselor - Professional in Danbury, CT

Active since December 28, 2012PECOS EnrolledAccepts Medicare Assignment
115 BOULEVARD DR, DANBURY, CT 06810(203) 293-9912 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Jan 6, 2017 (2 updates tracked since 2017).

About Dr. Theresa J Canada Ed.d., Ncc,lpc,dcc NPPES

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

DR. THERESA J CANADA ED.D., NCC,LPC,DCC (NPI 1962748517) is an individual professional provider in Danbury, Connecticut, licensed in Connecticut (000399) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1989).

NPPES Registry Identity

NPI1962748517
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. THERESA J CANADACredential: ED.D., NCC,LPC,DCC
Location Address115 BOULEVARD DRDanbury, CT 06810-7256
Mailing Address90 La Salle St, 15bNew York, NY 10027-4719 · (212) 663-4423
Phone(203) 293-9912
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1989
Enumeration DateDecember 28, 2012
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1962748517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 000399
115 BOULEVARD DR, Danbury, CT 06810
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Secondary Practice Location 1

Location 190 La Salle St Apt 15BNew York, NY 10027-4723 · Phone (212) 663-4423

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

Dr. Theresa J Canada Ed.d., Ncc,lpc,dcc 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 ID244673226
PECOS Enrollment IDI20240206004600
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.

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 Canada's NPI number?

The NPI number for Theresa Canada is 1962748517. It was assigned to this individual provider in the NPPES registry on December 28, 2012.

Where is Theresa Canada located?

Theresa Canada practices at 115 Boulevard Dr, Danbury, CT 06810. The listed phone number is (203) 293-9912.

What is Theresa Canada's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Theresa Canada enrolled in Medicare?

Yes. Theresa Canada 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 Theresa Canada was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.