Tessa Peoples Kinsey, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MF001588 Issued in PA

Practice address

6757 Greene St
Philadelphia, PA 19119-3508

Phone

(484) 452-4125

NPI assigned

Jul 3, 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

Opted out of Medicare

Yes, effective Jun 4, 2024 through Jun 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cultivate Therapy LLC

  • Marriage & Family Therapist
  • Philadelphia, PA
  • NPI 1689592834
  NPD (past) Authorized official

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1457197998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6654 CROWSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192202",
            "telephone_number": "484-554-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 GREENE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193508",
            "telephone_number": "484-452-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "TESSA",
        "middle_name": "PEOPLES",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Kinniry, MD
• Bruce Paul Kinosian, MD
• Tara Danielle Kinra, M.D.
• Jacqueline B Kinsey, CRNP
• Katherine Kingsley Kinsey, PHD
• Kimberly Dene Kinsler
• Sara B Kinsman, M.D.
• Michael Stephen Kinson Jr., MD
• Natalia Kiperman, AUD., CCC-A
• Carie Kipnis, LCSW

• Marriage & Family Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.