Tessa Mitan, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2406332 Issued in OH

Practice address

1335 Dublin Rd Ste 212C
Columbus, OH 43215-7045

Phone

(614) 437-9910

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Live Wellness Center, LTD.

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1417391053

  Mental Health

  NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1386476109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 WORTHINGTON RIDGE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430854906",
            "telephone_number": "330-860-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD STE 212C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157045",
            "telephone_number": "614-437-9910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Wilson Bridge Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430852328",
            "country_code": "US",
            "telephone_number": "419-482-8382 x517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITAN",
        "first_name": "TESSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2406332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luther Missick Jr.
• Shatonna N Missick
• Mission Chiropractic Co LLC
• Ami P. Mistry, OTR/L
• Pinal Vishal Mistry, PHARM D
• Roberta Lee Mitch, NURSE PRACTITIONER
• Tiffany Mitch
• Adam Mitchell
• Aja D'Nez Mitchell, LPN
• Aleasha Mitchell

• Mental Health Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.