Tessa Breann Price, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-4968 Issued in ID

Practice address

915 Parkcentre Way Ste 7
Nampa, ID 83651-1748

Phone

(208) 442-7791

NPI assigned

Mar 2, 2009

Last updated

Aug 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1467692574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 PARKCENTRE WAY STE 7",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511748",
            "telephone_number": "208-442-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PARKCENTRE WAY STE 7",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511748",
            "telephone_number": "208-442-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TESSA",
        "middle_name": "BREANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-4968",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Emergency Physicians of Idaho Medical Group
• Kristin Marie Prescott, FNP-C
• Joshua Price, PA-C
• Julia Michelle Price
• Sarah Louise Price
• Victoria Price
• Matrgie Eloise Prickett
• Lauren E Priem, MD
• Marissa Danielle Prieto
• Primary Care Chiropractic, PLLC

• Mental Health Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.