Destiny Elaine-Nikole Teasley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

260 Cohasset Rd
Chico, CA 95926-2282

Phone

(530) 894-5933

NPI assigned

Aug 7, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Youth for Change

  • Adolescent and Children Mental Health Clinic/Center
  • Chico, CA
  • NPI 1811506058
  NPD

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1740769165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262282",
            "telephone_number": "530-894-5933",
            "fax_number": "530-894-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262282",
            "telephone_number": "530-894-5933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7204 Skyway",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959693280",
            "country_code": "US",
            "telephone_number": "530-877-1965",
            "fax_number": "530-894-5791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEASLEY",
        "first_name": "DESTINY",
        "middle_name": "ELAINE-NIKOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raina Debra Taylor
• Sharon Treloar Taylor
• Te Layne MD Inc
• Loren D Teague, D.C.
• Kathleen Margaret Teal, MFT
• Patrick Tedford, M.D.
• Jeannette Marian Mutch Teesdale
• Tasha Lynn Teeter
• Carl Frank Tenckhoff, D.C.
• Mark Tenenbaum, D.C.

• Mental Health Counselor in Chico, CA
• Providers in Chico, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.