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

Theresa M Cieslinski, PFMHNP

Individual provider Registered Nurse · NPI 1205173994

Theresa M Cieslinski, PFMHNP is a Nurse Practitioner in Dyer, Indiana. Qualified in 2012, 14 years ago. Practices with Southlake Community Mental Health Center Inc, a 38-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2013
Specialties on file
2

Practice location Address checks out

24 Joliet St
Dyer, IN 46311-1705
Phone: (219) 322-5747
Fax: (219) 864-2282
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71004267A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28205748A (IN)

Record details

NPI number1205173994
Entity typeIndividual (Type 1)
GenderFemale
Credentials PFMHNP
Sole proprietorNo
NPI enumeratedJanuary 15, 2013
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Southlake Community Mental Health Center Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Dyer