Tyesha Cole

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7373 Brookcrest Dr Ste 309
Cincinnati, OH 45237-3455

Phone

(513) 570-4068

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Jr Gatt, LLC

  • Clinical Social Worker
  • Cincinnati, OH
  • NPI 1962028217
  NPD (past)
• Poppy's Therapeutic Corner, LLC

  • Community/Behavioral Health Agency
  • Springdale, OH
  • NPI 1447821624
  NPD (past)

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1093305088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 W NORTH BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 BROOKCREST DR STE 309",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373455",
            "telephone_number": "513-570-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "TYESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.poppystherapeuticcorner.com",
            "affiliation": "N",
            "address_1": "7373 Brookcrest Dr Ste 309",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452373455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nischi Michelle Cole, REGISTERED NURSE
• Sandra Lee Cole
• Stacy Lynn Cole
• Taylor Renee Cole
• Thomas Cole, AA
• Yumorria Laketa Cole
• Kimberly D Colegate, INDEPENDENT PROVIDER
• Leslie Grant Colegrove
• Christine Lind Colella, MSN, CNP
• Aishah Coleman, LPN

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.