Tesa Le Anne Tapuriah, MSAC, CSAC, ICADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3017-21 Issued in HI

Practice address

1090 River Rock CT Apt 5
Kiel, WI 53042-2008

Phone

(863) 800-2018

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Quality Care Preference LLC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
  • NPI 1851030829
  NPD Authorized official
• Quality Care Preference LLC

  • Addiction (Substance Use Disorder) Counselor
  • Honolulu, HI
  • NPI 1740872225
  NPD (past) Authorized official

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1720640949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 RIVER ROCK CT APT 5",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530422008",
            "telephone_number": "863-800-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 RIVER ROCK CT APT 5",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530422008",
            "telephone_number": "863-800-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPURIAH",
        "first_name": "TESA",
        "middle_name": "LE ANNE",
        "credential": "MSAC, CSAC, ICADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "3017-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF HAWAII ALCOHOL AND DRUG ABUSE  DIVISION",
            "identifier": "3017-21",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qcpllcttap@qualitycarepreferencellc.com",
            "affiliation": "N",
            "endpointDescription": "direct",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Assessment, Progressnotes, Case Managemnent, Personal Care, Counseling Correspondence",
            "address_1": "1090 River Rock Ct Apt 5",
            "city": "Kiel",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530422008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Kiel, WI
• Providers in Kiel, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.