Individual provider Active NPI

Tess Marie Deprow

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1407427487
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017009222 Issued in MO
Practice address
11861 Westline Industrial Dr Ste 850
Saint Louis, MO 63146-3300
Phone
(314) 434-9441
Fax
(314) 469-5490
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2017009222 MO Primary

Addresses

Primary practice location

11861 Westline Industrial Dr Ste 850
Saint Louis, MO 63146-3300

Mailing address

11861 Westline Industrial Dr Ste 850
Saint Louis, MO 63146-3300
Phone (314) 434-9441

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2017009222MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tessdeprow@tdh.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1407427487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11861 WESTLINE INDUSTRIAL DR STE 850",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463300",
            "telephone_number": "314-434-9441",
            "fax_number": "314-469-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11861 WESTLINE INDUSTRIAL DR STE 850",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463300",
            "telephone_number": "314-434-9441",
            "fax_number": "314-469-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPROW",
        "first_name": "TESS",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017009222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.