Tetrick Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH7529 Issued in FL

Legal business name

TETRICK COUNSELING, LLC

Practice address

2020 E Robinson St
Orlando, FL 32803-6045

Phone

(407) 929-6821

Fax

(407) 898-2805

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Martina Tetrick, LMHCNPI 1376732594

Title

Owner

Phone

(407) 929-6821

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martina Tetrick, LMHC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1376732594
  NPD (past) Authorized official

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1104136647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 LAKE HIGHLAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032601",
            "telephone_number": "407-929-6821",
            "fax_number": "407-898-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036045",
            "telephone_number": "407-929-6821",
            "fax_number": "407-898-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETRICK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "TETRICK",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-929-6821",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH7529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759031801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth John Tesinsky, O.D.
• Gregory Testa, PA-C
• Sherri Testa, PA
• Testrite Diabetic Solutions Inc
• Tet Ansanm Global Health Initiative, Inc
• Martina Tetrick, LMHC
• Amy J. Teumer, LMHC
• Rojer Tewari, RPH
• Robin Texeira
• Vangie Texeira, M.E.D

• Community/Behavioral Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.