Teresa Elisa Tudder, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3462 Issued in MD

Practice address

7300 Calhoun PL
Suite 600
Rockville, MD 20855-2790

Phone

(240) 777-1277

NPI assigned

Mar 10, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: teresa.tudder.p3@direct.mcg-hhs.nextgenshare.com
• Direct secure messaging: teresa.tudder.p1@direct.mcg-hhs.nextgenshare.com

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1184040594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 CALHOUN PL",
            "address_2": "SUITE 600",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552790",
            "telephone_number": "240-777-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 CALHOUN PL",
            "address_2": "SUITE 600",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552790",
            "telephone_number": "240-777-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDDER",
        "first_name": "TERESA",
        "middle_name": "ELISA",
        "name_prefix": "Ms.",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Rockville, MD
• Providers in Rockville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.