Tessa Meijer Koeval

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12497A Issued in NC

Practice address

805 State Farm Rd Ste 304
Boone, NC 28607-4914

Phone

(561) 373-0852

NPI assigned

Jul 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Tessa Moriah Meijer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Thrivewell Therapy PLLC

  • Marriage & Family Therapist
  • Boone, NC
  • NPI 1982587325
  NPD Authorized official
• Boone Family Therapy PLLC

  • Marriage & Family Therapist
  • Boone, NC
  • NPI 1689329138
  NPD (past)

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1285360800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ARCTIC DRIVE",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286048293",
            "telephone_number": "980-505-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 STATE FARM RD STE 304",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074914",
            "telephone_number": "561-373-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEVAL",
        "first_name": "TESSA",
        "middle_name": "MEIJER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12497A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPY LICENSURE BOARD",
            "identifier": "12497A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "MEIJER",
            "middle_name": "MORIAH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lou Ann Kernodle, PT
• Keyes Counseling, PLLC
• Tammy S King, SLP
• Dale Emerson Kirkley, M.A.
• Joseph F. Klein, PH.D.
• Anna Profio Koonts
• Mary Reagan Kosmatine, LCSWA, MSSW
• Ingrid W Kraus, PH.D.
• Kreher Counseling
• Brian Kreher, LCMHC, LCAS

• Marriage & Family Therapist in Boone, NC
• Providers in Boone, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.