Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa A Douglas, MS, LPC-T

Individual provider Mental Health Counselor · NPI 1376971226

Theresa A Douglas, MS, LPC-T is a Mental Health Counselor in Janesville, Wisconsin. Qualified in 2013, 13 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4539 Woodgate Dr Ste D
Janesville, WI 53546-8205
Phone: (818) 208-4774
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 428 S Yellowstone Dr, Madison, WI 53719-1043 — (818) 208-4774

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X · Licence 5662-125 (WI)

Record details

NPI number1376971226
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC-T
Sole proprietorNo
NPI enumeratedOctober 30, 2013
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Janesville