Active NPI
Karen Tesser, LMSW
- Mental Health Counselor
- Farmington Hills, MI
National Provider Identifier
1295741742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801019651
- Practice address
- 37875 W 12 Mile Rd
Suite 203
Farmington Hills, MI 48331-3043 - Phone
- (248) 788-5963
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801019651 | MI | Primary |
Addresses
Primary practice location
37875 W 12 Mile Rd
Suite 203
Farmington Hills, MI 48331-3043
Mailing address
30482 Fox Club Drive
Farmington Hills, MI 48331-1956
Phone (248) 788-5963
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 570041 | Other | MI | VALUE OPTIONS |
| 098394 | Other | MI | MHN |
| 71571 | Other | MI | UNITED BEHAVIORAL HEALTH |
| 0004562201 | Other | MI | AETNA |
| 8008974690 | Other | MI | BLUE CROSS BLUE SHIELD MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801019651 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295741742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30482 FOX CLUB DRIVE",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483311956",
"telephone_number": "248-788-5963",
"fax_number": "248-592-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37875 W 12 MILE RD",
"address_2": "SUITE 203",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483313043",
"telephone_number": "248-788-5963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESSER",
"first_name": "KAREN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801019651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "570041",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "098394",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "71571",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004562201",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "8008974690",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.