Tatessica Cooley, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14939 Issued in FL

Practice address

7403 Temple Terrace Highway
Suite B
Tampa, FL 33637

Phone

(813) 399-4605

Fax

(813) 899-4688

NPI assigned

Jun 24, 2015

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Exploration Counseling: Therapy & Behavior Modification Services

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1306377551
  NPD (past) Authorized official

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1669854857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9641 NORCHESTER CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471849",
            "telephone_number": "601-342-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7403 TEMPLE TERRACE HIGHWAY",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33637",
            "telephone_number": "813-399-4605",
            "fax_number": "813-899-4688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10335 Cross Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336472795",
            "country_code": "US",
            "telephone_number": "813-399-4605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "TATESSICA",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020519000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020601200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dyal Cooke, ARNP
• Cool Kidz Pediatrics LLC
• Cynthia Haddad Cooley
• Eden Cooley, PHARMD
• Irina Nagovsky Cooley, MD
• Scott Andrew Coon, PHARM.D., BCACP
• Audra Coons, LCSW
• Brent Coons, D.C
• Jason T Coons
• Brandon McKay Coop, RBT

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.