Organization Active NPI

Tea Light Counseling, LLC

  • Mental Health Counselor
  • Blue Ash, OH
National Provider Identifier
1396401162
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TEA LIGHT COUNSELING, LLC
Practice address
10999 Reed Hartman Hwy Ste 337
Blue Ash, OH 45242-8303
Phone
(513) 620-4029
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Nicole Motley, MS, LPCC-S
Title
Owner
Phone
(248) 881-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10999 Reed Hartman Hwy Ste 337
Blue Ash, OH 45242-8303

Mailing address

10999 Reed Hartman Hwy Ste 337
Blue Ash, OH 45242-8303
Phone (513) 620-4029

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1396401162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10999 REED HARTMAN HWY STE 337",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452428303",
            "telephone_number": "513-620-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10999 REED HARTMAN HWY STE 337",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452428303",
            "telephone_number": "513-620-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEA LIGHT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "MOTLEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-881-6999",
        "authorized_official_credential": "MS, LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.