Tessa Marie Swacker

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T22164 Issued in IA

Practice address

620 8TH St
Des Moines, IA 50309-1539

Phone

(515) 697-5700

NPI assigned

Jun 10, 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

• Tessa Cady Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Orchard Place

  • Adolescent and Children Mental Health Clinic/Center
  • Des Moines, IA
  • NPI 1174513717
  NPD (past)

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1497248942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 8TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091539",
            "telephone_number": "515-697-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 8TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091539",
            "telephone_number": "515-697-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWACKER",
        "first_name": "TESSA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-10",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "Y5011232",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "T22164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "Y5011232",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "CADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Surgery Centers of Iowa LLC
• Susan L Houts, Lisw, LLC
• Susan M Guenther, PH.D., PC
• Lily Sutton, ARNP
• Charles Howard Svensson, M.D.
• Karen Nicole Swafford, MMN, RDN, LD
• Gabriela Swan
• Ned Anthony Swan, PT, DPT
• Chelsea Marie Swanson
• Alissa Swarts

• Addiction (Substance Use Disorder) Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.