Tessa Gutierrez, LSCSW, LCAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4207 Issued in KS

Practice address

929 S Washington St.
Junction City, KS 66441

Phone

(785) 802-9024

NPI assigned

Jun 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tessa Fall Former name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Kansas School of Med (KC/Wich/Sal), 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Leaf Counseling LLC

  • Clinical Social Worker
  • Junction City, KS
  • NPI 1952914129

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1073834602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 S WASHINGTON ST.",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "66441",
            "telephone_number": "785-802-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 S WASHINGTON ST.",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "66441",
            "telephone_number": "785-802-9024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Claflin Rd",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665023415",
            "country_code": "US",
            "telephone_number": "785-587-4300",
            "fax_number": "785-587-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "TESSA",
        "credential": "LSCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "524",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "FALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morgan Griffin
• Brenda Lea Grindstaff, LPN
• April Dawn Gromlovits, RPH
• Grow Family Counseling
• Laura Ruthann Gunderson, LMSW
• Magali Guzman
• Ariana Haag, SLP
• Olivia Haffner
• Matthew Ryan Hagenmaier, DPT
• Curtis Hailey

• Clinical Social Worker in Junction City, KS
• Providers in Junction City, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.

Verify at the official NPI Registry.