Teddi Kriegsman, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH25735 Issued in FL

Practice address

15311 Cortez Blvd
Brooksville, FL 34613-6005

Phone

(352) 540-9335

Fax

(352) 467-7157

NPI assigned

Jun 17, 2022

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Wave of Change

  • Addiction (Substance Use Disorder) Counselor
  • Waterbury, CT
  • NPI 1063187672
  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1710618061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38223 FALLSTONE WAY",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335425984",
            "telephone_number": "860-806-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15311 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136005",
            "telephone_number": "352-540-9335",
            "fax_number": "352-467-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGSMAN",
        "first_name": "TEDDI",
        "name_prefix": "Mrs.",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25735",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT DPH",
            "identifier": "4834",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL DPH",
            "identifier": "IMH25735",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayse Gul Korkmaz, MD
• Gopal R Korupolu, M.D.
• Ciana Alliyah Martins Kraft, MA
• Mark A T Kranc, M.D.
• Amy Kraus
• Krishna M Ganti MD PA
• Vamsi Krishna Krishnamaneni
• Linda Kruger
• Tauland Kruja, DMD
• Paulina Krzyzanowski

• Mental Health Counselor in Brooksville, FL
• Providers in Brooksville, 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 Jan 6, 2025; 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.