Savannah Tiedeman-Mueller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

COUI-7994 Issued in ID

Practice address

317 W 6TH St Ste 208
Moscow, ID 83843-2387

Phone

(208) 882-3504

NPI assigned

Jan 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Savannah Tiedeman Former name

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1619565504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W 6TH ST STE 208",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432387",
            "telephone_number": "208-882-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 6TH ST STE 208",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432387",
            "telephone_number": "208-882-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEDEMAN-MUELLER",
        "first_name": "SAVANNAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "COUI-7994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "TIEDEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Moscow, ID
• Providers in Moscow, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.