Individual provider Active NPI

Felicia Tedder, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1639487622
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
40271 Issued in TX
Practice address
3880 Greenhouse Rd Ste 411
Houston, TX 77084-3486
Phone
(832) 477-3113
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 40271 TX Primary

Addresses

Primary practice location

3880 Greenhouse Rd Ste 411
Houston, TX 77084-3486

Mailing address

4922 Russet Trail CT
Katy, TX 77449-5913
Phone (832) 477-3113

Other practice location 1

1826 Snake River Rd
Suite D
Katy, TX 77449-7750
Phone (281) 394-1379

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
40271TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tedder'S Counseling Corner, PLLC Clinical CurrentSince Nov 20, 2022 Accepting new patients
LG Counseling, PLLC Past Accepting new patients

Locations

3880 Greenhouse Rd
Ste 411
Houston, TX 77084
Phone (713) 503-7606

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639487622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 RUSSET TRAIL CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495913",
            "telephone_number": "832-477-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 GREENHOUSE RD STE 411",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843486",
            "telephone_number": "832-477-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1826 Snake River Rd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774497750",
            "country_code": "US",
            "telephone_number": "281-394-1379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDDER",
        "first_name": "FELICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.