Active NPI
Elizabeth Tedeschi, LAC
- Mental Health Counselor
- Trenton, NJ
National Provider Identifier
1023505377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 700 S Clinton Ave
Trenton, NJ 08611-1916 - Phone
- (908) 370-8103
- NPI assigned
- Apr 21, 2018
- Last updated
- Apr 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
700 S Clinton Ave
Trenton, NJ 08611-1916
Mailing address
117A Rivervale CT
Scotch Plains, NJ 07076-3010
Phone (908) 370-8103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524268800000",
"number": "1023505377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117A RIVERVALE CT",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070763010",
"telephone_number": "908-370-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S CLINTON AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086111916",
"telephone_number": "908-370-8103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEDESCHI",
"first_name": "ELIZABETH",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-21",
"last_updated": "2018-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.