Individual provider Active NPI

Teshia Hackler

  • Mental Health Counselor
  • Fredericksburg, VA
National Provider Identifier
1417531245
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701009426 Issued in VA
Practice address
9409 Birch Cliff Dr
Fredericksburg, VA 22407-9223
Phone
(540) 429-2439
NPI assigned
May 7, 2021
Last updated
May 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8745 NC
Mental Health Counselor 101YM0800X 0701009426 VA Primary

Addresses

Primary practice location

9409 Birch Cliff Dr
Fredericksburg, VA 22407-9223

Mailing address

PO Box 334
Fredericksburg, VA 22404-0334
Phone (703) 662-4852

Other practice location 1

9409 Birch Cliff Dr
Fredericksburg, VA 22407-9223
Phone (703) 662-4852

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
8745NCMDMental Health Counselor
0701009426VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1417531245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224040334",
            "telephone_number": "703-662-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 BIRCH CLIFF DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079223",
            "telephone_number": "540-429-2439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9409 Birch Cliff Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224079223",
            "country_code": "US",
            "telephone_number": "703-662-4852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKLER",
        "first_name": "TESHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8745",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701009426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.