Staci Tessmer, LPCC-S, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.1700019-SUPV Issued in OH

Practice address

8701 Mentor Ave
Mentor, OH 44060-6103

Phone

(440) 266-0770

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• B. Sharif MD, Inc

  • Psychiatry Physician
  • Mentor, OH
  • NPI 1922287382
  NPD (past)
• Premier Behavioral Health Services, LLC

  • Clinical Psychologist
  • Mentor, OH
  • NPI 1184869786
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1609352277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606103",
            "telephone_number": "440-266-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606103",
            "telephone_number": "440-266-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSMER",
        "first_name": "STACI",
        "credential": "LPCC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1700019-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Tegel
• Elaine M Templeton
• Tender Loving Care Health Care Services Midwest, LLC
• WM. David Tenney, D.P.M.
• Alicia Terry, LICENSE OPTICIAN
• Jaime Tevelson
• Brian Michael Thatcher, LCDC-III
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• Trevor Theobald, LPTA

• Counselor in Mentor, OH
• Providers in Mentor, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.