Kelly Tedeschi, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.013239 Issued in IL

Practice address

350 S Northwest Hwy
Park Ridge, IL 60068-4216

Phone

(708) 645-6446

NPI assigned

Aug 28, 2017

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

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.

• Essentially You Counseling and Wellness Services, LLC

  • Mental Health Counselor
  • Bloomingdale, IL
  • NPI 1851802896
  NPD (past)

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1780101915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15540 LARAMIE AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523419",
            "telephone_number": "708-645-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684216",
            "telephone_number": "708-645-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCHI",
        "first_name": "KELLY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.013239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Tapak, AGACNP-BC
• Nichele Catherine Tardi
• Faiza Tariq, MD (MBBS)
• Shantiera Nicole Taylor, MD
• Suzanne Michelle Teal, NURSE PRACTITIONER
• Jordan Teitelbaum, D.O.
• Tele Medicine Services
• Caroline Ter Rahe, MD
• Lauren J Terzich, FNP
• Kelsie Thacker, MA, CF-SLP

• Professional Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.