Kathryn Hillary Tedeschi, ATR-BC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007801 Issued in VA

Practice address

11250 Roger Bacon Dr BLDG 10
Reston, VA 20190-5219

Phone

(703) 962-7206

NPI assigned

Jun 22, 2018

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

Other identifiers 1

Other names 1

• Miss Kathryn Hillary Martin Former name

Electronic endpoints 1

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1477048429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 HORTON HILL RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712510",
            "telephone_number": "703-798-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 ROGER BACON DR BLDG 10",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905219",
            "telephone_number": "703-962-7206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101A Backlick Rd",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220036080",
            "country_code": "US",
            "telephone_number": "703-798-6291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDESCHI",
        "first_name": "KATHRYN",
        "middle_name": "HILLARY",
        "name_prefix": "Mrs.",
        "credential": "ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14648",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF COUNSELING",
            "identifier": "0701007801",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "address_1": "11250 Roger Bacon Dr Bldg 10",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201905219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MARTIN",
            "middle_name": "HILLARY",
            "prefix": "MISS",
            "credential": "ATR-BC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fred F Taweel, MD
• Olga Adjo Tawiah, NP
• Abigail Coleman Taylor, PA-C
• Teanna Taylor
• Tiffany Nicole Tea, PT, DPT
• Gerardo M Tejada
• Mark C Tekrony, PH.D., M.D.
• Tele-Physicians, P.C.
• Nicole M Teske, PSYD
• Tessa Cholmondeley MD PC

• Professional Counselor in Reston, VA
• Providers in Reston, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.