Alyssa Marie Tedesco, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

002502 Issued in CT

Practice address

341 West St Unit B
Plantsville, CT 06479-1140

Phone

(203) 718-3121

Fax

(203) 756-2521

NPI assigned

Jun 29, 2019

Last updated

Jan 12, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CT

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

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Connecticut PCGroup PAC ID 9436502879, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alyssa.sola.p1@direct.wheelerclinic.nextgenshare.com

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.

• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Plantsville, CT
  • NPI 1164203238
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1730972944
  NPD
• Community Guidance Clinic for Central Connecticut, Inc

  • Mental Health Counselor
  • Meriden, CT
  • NPI 1467500090
  NPD (past)
• Community Guidance Clinic for Central Connecticut, Inc

  • Mental Health Counselor
  • Meriden, CT
  • NPI 1851880546
  NPD (past)
• Mindscapes Counseling PLLC

  dba Tides of Mind Counseling

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1295130581
  NPD (past)

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1104488121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 WEST ST UNIT B",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791140",
            "telephone_number": "203-718-3121",
            "fax_number": "203-756-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WEST ST UNIT B",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791140",
            "telephone_number": "203-718-3121",
            "fax_number": "203-756-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "002502",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayelet Stein, PMHNP-BC
• Summit at Plantsville Acquisition Operator LLC
• Sunrise Family Medicine LLC
• Elizabeth Suzio
• Patricia Tardif, LCSW
• Teletherapy Services PLLC
• Melissa Testa, LCSW
• The Nurse Network, LLC
• Carolyn Ann Thomas, CD(DONA)
• Shannon Thomas

• Marriage & Family Therapist in Plantsville, CT
• Providers in Plantsville, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.