Dr Theresa J Canada, EDD, NCC,LPC,DCC in Danbury, CT

Dr Theresa J Canada, EDD, NCC,LPC,DCC is a medicare enrolled "Counselor - Professional" provider in Danbury, Connecticut. Her current practice location is 412 Main St, New Directions Psychotherapy And Counseling Center, Danbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 730-8775.

Dr Theresa J Canada is licensed to practice in Connecticut (license number 000399) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962748517.

Contact Information

	Dr Theresa J Canada, EDD, NCC,LPC,DCC
	412 Main St, New Directions Psychotherapy And Counseling Center, Danbury, CT 06810-4730
	(203) 730-8775
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Theresa J Canada
Gender	Female
Speciality	Counselor - Professional
Location	412 Main St, Danbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962748517
Provider Enumeration Date: 12/28/2012
Last Update Date: 01/06/2017

Medicare PECOS Information:

PECOS PAC ID: 0244673226
Enrollment ID: I20240206004600

Medical Identifiers

Medical identifiers for Dr Theresa J Canada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962748517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	000399 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Theresa J Canada allows following entities to bill medicare on her behalf.

Entity Name	Stokes Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134541469 PECOS PAC ID: 9638504202 Enrollment ID: O20200109001018

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theresa J Canada is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Theresa J Canada, EDD, NCC,LPC,DCC 90 La Salle St, 15b, New York, NY 10027-4719 Ph: (212) 663-4423	Dr Theresa J Canada, EDD, NCC,LPC,DCC 412 Main St, New Directions Psychotherapy And Counseling Center, Danbury, CT 06810-4730 Ph: (203) 730-8775

Reviews and Comments

Counselor in Danbury, CT

Nick Nelson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-360-2889 Fax: 203-332-3271
Haley Mozonski, Counselor Medicare: Medicare Enrolled Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689
Mrs. Carolyn Cunningham, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 72 North St, Suite 205, Danbury, CT 06810 Phone: 203-794-1044 Fax: 203-743-1110
Ashley Seltzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West Street, Danbury, CT 06810 Phone: 203-205-2618
Ms. Donna Gail Harrison-patton, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689
Mr. John Joseph Gordon, Jr., CASAC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 Virginia Ave, Unit 7, Danbury, CT 06810 Phone: 917-309-2067
Amanda Ogrin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689

Dr Theresa J Canada, EDD, NCC,LPC,DCC - Medicare Counselor in Danbury, CT