TERESA S. DEMENT (LPCC, LICDC) – Mental Health Counselor, NPI 1457890097

TERESA S. DEMENT (LPCC, LICDC) is a healthcare provider. based in Logan, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC, LICDC. They hold a License No. LICDC.161833 (OH). The NPI Number for TERESA S. DEMENT (LPCC, LICDC) is 1457890097

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
TERESA S. DEMENT (LPCC, LICDC)
NPI
1457890097
Phone
(740) 205-2999
Address
1220 W HUNTER ST
Enumeration Date
15 February 2017
Last Update Date
12 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7402052999
Graduation Year
2016 (10 years ago)
PAC ID
9931513900
Group Practice PAC ID
8022422096
Professional Enrollment ID
I20240201004150
Address ID
OH431381012LO1220XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Loading map...

Provider Addresses for TERESA S. DEMENT (LPCC, LICDC)

  • 1220, West Hunter Street, Logan, Hocking County, Ohio, 43138, United States

    LOGAN, OH 431381012

    Phone: (740) 205-2999

    Fax: (740) 216-4501

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240201004150IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43138)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022422096View full group profile
NameSpecialtyState
Addiction MedicineOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is TERESA S. DEMENT (LPCC, LICDC) listed with a National Provider Identifier?
Yes — TERESA S. DEMENT (LPCC, LICDC) has NPI 1457890097 on file in the registry.
Is there an active status for TERESA S. DEMENT (LPCC, LICDC)?
For scheduling context, TERESA S. DEMENT (LPCC, LICDC) is shown as active in the registry.
What kind of doctor is TERESA S. DEMENT (LPCC, LICDC)?
TERESA S. DEMENT (LPCC, LICDC) is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is TERESA S. DEMENT (LPCC, LICDC) located near Logan?
TERESA S. DEMENT (LPCC, LICDC) currently maps to Logan, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

13705 MAYSVILLE WILLIAMS RD
NPI: 1578602140

KRISTI M PENNINGTON (LISW)

Clinical Social Worker
541 STATE ROUTE 664 N STE C
NPI: 1275801128

ALEXANDER DOLIN (LPCC-S)

Professional Counselor
822 FRANKLIN AVE
NPI: 1972912756

DR. GUY TAYLOR (PH.D., LICDC, LPC)

Addiction (Substance Use Disorder) Counselor
247, Market Street, Emden, Logan County, Illinois, 62635, United States
NPI: 1497294052

KELLEY ROMANOWSKI (LPCC)

Mental Health Counselor
SR 664, Logan, Hocking County, Ohio, 43138, United States
NPI: 1811402456
624, East Main Street, Lancaster, Dallas County, Texas, 75146, United States
NPI: 1588172233

ERIN M BROOKS-SMITH (CDCA)

Addiction (Substance Use Disorder) Counselor
Box, 4, Κωλέττη, Exarcheia, Municipality of Athens, Regional Unit of Central Athens, Attica, 106 81, Greece
NPI: 1811498637

NANCY L GREGORY (CDCA, QMHS)

Addiction (Substance Use Disorder) Counselor
12896, Grey Street, Logan, Hocking County, Ohio, 43138, United States
NPI: 1497258990

COMMON BOND COUNSELING, LLC

Addiction (Substance Use Disorder) Counselor
1220, West Hunter Street, Logan, Hocking County, Ohio, 43138, United States
NPI: 1326542507