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Theresa J. Canada, ED.D., NCC,LPC,DCC

NPI 1962748517ActiveIndividual· Counselor, Professional· Danbury, CT

Counselor, Professional (ED.D., NCC,LPC,DCC) in Danbury, Connecticut, trained at University of Rochester School of Medicine and Dentistry (class of 1989). Enrolled in Medicare as practitioner - mental health counselor.

Overview

NPI1962748517
StatusActive
Entity typeIndividual
CredentialED.D., NCC,LPC,DCC
Sole proprietorYes
NPI issuedDec 28, 2012
Last updated in NPPESApr 17, 2026
Certified by providerApr 17, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Professional Primary101YP2500X000399CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (CT)

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Rochester School of Medicine and Dentistry
Graduation year1989
Medicare specialtyMental Health Counselor

Medical group

Source: CMS Care Compare

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