Active NPI
Tedi Denee Newman, LPC
- Mental Health Counselor
- Elizabethton, TN
National Provider Identifier
1588927289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8611
- Practice address
- 507 W D St
Elizabethton, TN 37643-2510 - Phone
- (919) 744-4171
- NPI assigned
- Jun 19, 2012
- Last updated
- Jan 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8611 | NC | Primary |
Addresses
Primary practice location
507 W D St
Elizabethton, TN 37643-2510
Mailing address
1736 Old Gray Station Rd Apt 4
Johnson City, TN 37615-3890
Phone (919) 744-4171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260609004251 | TN | Practitioner - Mental Health Counselor | 4082185178 | Practice locations: Elizabethton, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Elizabethton, TN 37643
Phone (919) 744-4171
507 W D St
Elizabethton, TN 37643-2510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8611 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1588927289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 OLD GRAY STATION RD APT 4",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376153890",
"telephone_number": "919-744-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 W D ST",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432510",
"telephone_number": "919-744-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "TEDI",
"middle_name": "DENEE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.