Tia Rachael Deswert

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

409 Camino del Rio S Ste 1
San Diego, CA 92108-3504

Phone

(619) 381-7748

NPI assigned

Jun 22, 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 names 1

• Tia Gototweski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1285365908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CAMINO DEL RIO S STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083504",
            "telephone_number": "619-381-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CAMINO DEL RIO S STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083504",
            "telephone_number": "619-381-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESWERT",
        "first_name": "TIA",
        "middle_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "GOTOTWESKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taddese Teferi Desta, M.D.
• Emily Paige Destefano, ND
• Destiny Medical Supplies
• Latoya Desue, LMFT
• Ajai Scott Desulme
• Detention's Facility Pharmacy
• Deters Chiropractic Corp
• Raymond Leroy Deters III, D.C.
• Cassandra Detgen
• Crystal Faith Dethlefs

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.