Active NPI
Tessa J Coltrin, PSY.D.
- Psychologist
- Springfield, MO
National Provider Identifier
1255512778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2009010491
- Practice address
- 3800 S National Ave Ste 770
Springfield, MO 65807-5283 - Phone
- (417) 269-6891
- Fax
- (417) 269-5595
- NPI assigned
- Nov 27, 2007
- Last updated
- May 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2007035388 | MO | |
| Psychologist | 103T00000X | 2009010491 | MO | Primary |
| Professional Counselor | 101YP2500X | 2009010491 | MO |
Addresses
Primary practice location
3800 S National Ave Ste 770
Springfield, MO 65807-5283
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712
Other practice location 1
3525 S National Ave Ste 206
Springfield, MO 65807-7315
Phone (417) 269-6891
Other practice location 2
525 Branson Landing Blvd Ste 219A
Branson, MO 65616-2052
Phone (417) 269-6891
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431560263 | Other | MO | TRICARE |
| 197065719 | Medicaid | AR | |
| P01173068 | Other | MO | RR MCR |
| 1255512778 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007035388 | MO | MD | Professional Counselor |
| 2009010491 | MO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E. Cox Medical Centers | Past | Accepting new patients | |
| Skaggs Community Hospital Association | Psychologist | Past | Accepting new patients |
Interoperability endpoints
- tcoltrin320804@directb.mercy.net
Organizations & group practices 5
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.
-
dba CoxHealth Neuropsychology Services
- Psychiatry Physician
- Springfield, MO
- NPI 1073905915
-
dba CoxHealth Surgical Services Branson
- Surgery Physician
- Branson, MO
- NPI 1386524270
-
dba CoxHealth Center Rogersville
- Rural Health Clinic/Center
- Rogersville, MO
- NPI 1164456612
-
dba CoxHealth Branson Psychological Services
- Psychologist
- Branson, MO
- NPI 1780527184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1255512778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4046",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658084046",
"telephone_number": "417-269-5712",
"fax_number": "417-269-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S NATIONAL AVE STE 770",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075283",
"telephone_number": "417-269-6891",
"fax_number": "417-269-5595"
}
],
"practiceLocations": [
{
"address_1": "3525 S National Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658077315",
"country_code": "US",
"telephone_number": "417-269-6891",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 Branson Landing Blvd Ste 219A",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656162052",
"country_code": "US",
"telephone_number": "417-269-6891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLTRIN",
"first_name": "TESSA",
"middle_name": "J",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2007035388",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2009010491",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009010491",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "431560263",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197065719",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P01173068",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255512778",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.