Rachel M. Tesreau, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

167219 Issued in KY

Practice address

2200 E Parrish Ave BLDG B
Owensboro, KY 42303-1449

Phone

(270) 683-3232

Fax

(270) 852-1600

NPI assigned

May 8, 2010

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 and National Provider Directory roles.

• Owensboro Pediatrics LLC

  • Pediatrics Physician
  • Owensboro, KY
  • NPI 1720092240

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1273276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1851619316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-691-8070",
            "fax_number": "270-691-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE BLDG B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-683-3232",
            "fax_number": "270-852-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESREAU",
        "first_name": "RACHEL",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-08",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "167219",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "167219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100409750",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200275200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney M Taylor, LCSW
• Wade Randolph Taylor, DO
• Graham Temple, BACHELOR OF ARTS
• Carla H Terrell, APRN
• Joseph W Terry, O.D.
• Joann Tessandori
• Sarah Thames, LCSW
• The Center of Owensboro-Daviess County, Inc
• The Endocrine and Diabetes Center PSC.
• The Functional Family Primary Care

• Professional Counselor in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.