Tina Presbery, LPC, RN, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010357 Issued in PA

Practice address

2805 Unruh Ave
Philadelphia, PA 19149-2525

Phone

(267) 593-9780

NPI assigned

Feb 7, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tinapresbery@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aadeliya Counseling Practice LLC

  • Professional Counselor
  • Elkins Park, PA
  • NPI 1790243020

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1003230244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 UNRUH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492525",
            "telephone_number": "267-593-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 UNRUH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492525",
            "telephone_number": "267-593-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESBERY",
        "first_name": "TINA",
        "credential": "LPC, RN, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC010357",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN564935",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN564935",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Beth Prenner, MD
• Stuart Barry Prenner, MD
• Anna Jenne Prentice, MS
• Mariah Presbery, MD
• Miladis Presbery, IBCLC
• Presbyterian Medical Center of the University of Pennsylvania Health S
• Presbyterian Medical Center of the University of Pennsylvania Health S
• Presbyterian Medical Center of the University of Pennsylvania Health S
• Presbyterian Medical Center of the University of Pennsylvania Health S
• Presbyterian Medical Center of the University of Pennsylvania Health S

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.