Individual provider Active NPI

Tessa Subler, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1780104331
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.12988 Issued in OH
Practice address
7690 New Market Center Way
Columbus, OH 43235
Phone
(614) 602-6473
NPI assigned
Jun 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Speech-Language Pathologist 235Z00000X SLP.12988 OH Primary

Addresses

Primary practice location

7690 New Market Center Way
Columbus, OH 43235

Mailing address

7963 Leighlinbridge Way Apt C
Dublin, OH 43016-8859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830001776 OH Practitioner - Qualified Speech Language Pathologist 8426387317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boundless Health, Inc.Group PAC ID 9931177425, 3 clinicians

Practice addresses (Care Compare)

445 E Dublin Granville Rd
Suite G
Worthington, OH 43085-3183
Phone 61484438002224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLP.12988OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boundless Health, Inc. CurrentSince Jul 23, 2019 Accepting new patients
Boundless Health, Inc. Speech-Language Pathologist CurrentSince Jul 23, 2019 Accepting new patients
Haugland, Lamarche, and Ramage LLC Past Accepting new patients
Haugland Learning Center Past Accepting new patients

Locations

445 E Granville Rd
Ste G
Worthington, OH 43085
Phone 61484438002224

445 E Dublin Granville Rd
Worthington, OH 43085
Phone (614) 844-3100

Interoperability endpoints

  • Direct secure messaging: tessa.subler.p1@direct.iamboundless.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1498348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1780104331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7963 LEIGHLINBRIDGE WAY APT C",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 NEW MARKET CENTER WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-602-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBLER",
        "first_name": "TESSA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-25",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SLP.12988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.