Individual provider Active NPI

Abede Fitzroy Tesfa, M.S./ED.S.

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1689922767
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1000 W Tharpe St
Suite 7
Tallahassee, FL 32303-5374
Phone
(850) 561-8060
Fax
(850) 561-1143
NPI assigned
Aug 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1000 W Tharpe St
Suite 7
Tallahassee, FL 32303-5374

Mailing address

1000 W Tharpe St
Suite 7
Tallahassee, FL 32303-5374
Phone (850) 561-8060

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1689922767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W THARPE ST",
            "address_2": "SUITE 7",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035374",
            "telephone_number": "850-561-8060",
            "fax_number": "850-561-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W THARPE ST",
            "address_2": "SUITE 7",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035374",
            "telephone_number": "850-561-8060",
            "fax_number": "850-561-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFA",
        "first_name": "ABEDE",
        "middle_name": "FITZROY",
        "credential": "M.S./ED.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.