Individual provider Active NPI

Kelley Tessier

  • Mental Health Counselor
  • Milton, VT
National Provider Identifier
1144633645
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0100151 Issued in VT
Practice address
28 Cornelia CT Unit 104
Milton, VT 05468-4657
Phone
(802) 274-8116
Fax
(844) 742-8384
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151.0125376 VT
Mental Health Counselor 101YM0800X 068.0100151 VT Primary

Addresses

Primary practice location

28 Cornelia CT Unit 104
Milton, VT 05468-4657

Mailing address

28 Cornelia CT Unit 104
Milton, VT 05468-4657
Phone (802) 274-8116

Other identifiers 2

IdentifierTypeStateIssuer
1026417MedicaidVT
1025703MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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

Enrollment IDStateProvider typePAC IDDetails
I20240223000758 VT Practitioner - Mental Health Counselor 2769826239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

28 Cornelia CT
Unit 104
Milton, VT 05468-4657
Phone (802) 274-8116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151.0125376VTMDAddiction (Substance Use Disorder) Counselor
068.0100151VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelley M Tessier LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

28 Cornelia Ct
Unit 104
Milton, VT 05468
Phone (802) 274-8116

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1144633645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CORNELIA CT UNIT 104",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054684657",
            "telephone_number": "802-274-8116",
            "fax_number": "844-742-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CORNELIA CT UNIT 104",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054684657",
            "telephone_number": "802-274-8116",
            "fax_number": "844-742-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSIER",
        "first_name": "KELLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0125376",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0100151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026417",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025703",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, VT

Sources for this page

Verify at the official NPI Registry.