Individual provider Active NPI

Tenesha Teasley

  • Foster Care Agency
  • Garfield Heights, OH
National Provider Identifier
1578339321
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
S-0000004980 Issued in OH
Practice address
4904 Orchard Rd
Garfield Heights, OH 44128-3132
Phone
(216) 225-6028
NPI assigned
Dec 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 21726518 OH
Case Manager/Care Coordinator 171M00000X
Foster Care Agency 253J00000X S-0000004980 OH Primary

Addresses

Primary practice location

4904 Orchard Rd
Garfield Heights, OH 44128-3132

Mailing address

4904 Orchard Rd
Garfield Heights, OH 44128-3132
Phone (216) 225-6028

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
21726518OHMDSchool Counselor
S-0000004980OHMDFoster Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1578339321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 ORCHARD RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441283132",
            "telephone_number": "216-225-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 ORCHARD RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441283132",
            "telephone_number": "216-225-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEASLEY",
        "first_name": "TENESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "OH",
            "license": "21726518",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "OH",
            "license": "S-0000004980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.