Kelley M Tessier LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KELLEY M TESSIER LLC

Practice address

28 Cornelia CT Unit 104
Milton, VT 05468-4657

Phone

(802) 274-8116

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelley TessierNPI 1144633645

Title

Self

Phone

(802) 274-8116

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelley Tessier

  • Mental Health Counselor
  • Milton, VT
  • NPI 1144633645
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1386411270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CORNELIA CT UNIT 104",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054684657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CORNELIA CT UNIT 104",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054684657",
            "telephone_number": "802-274-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY M TESSIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "TESSIER",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "802-274-8116"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Janesik
• Jenal Dumas, LLC
• Mariana Jerman-Lelito, PT
• Joseph Nasca, MD
• Danielle Juckett, DPT
• Nancy Kelley
• Sam Ketaneh
• Sarah A Kieslich, PT
• Wyatt Kilburn
• Jessica Kim

• Mental Health Clinic/Center (Including Community Mental Health Center) in Milton, VT
• Providers in Milton, VT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.