Active NPI
Tessa Wimberley
- Counseling Psychologist
- Silver Spring, MD
National Provider Identifier
1851983530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 06033
- Practice address
- 8705 Colesville Rd
Ste B #213
Silver Spring, MD 20910-3903 - Phone
- (301) 458-0690
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 06033 | MD | Primary |
Addresses
Primary practice location
8705 Colesville Rd
Ste B #213
Silver Spring, MD 20910-3903
Mailing address
8705 Colesville Rd
Ste B #213
Silver Spring, MD 20910-3903
Phone (301) 458-0690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06033 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644105600000",
"number": "1851983530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8705 COLESVILLE RD",
"address_2": "STE B #213",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103903",
"telephone_number": "301-458-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8705 COLESVILLE RD",
"address_2": "STE B #213",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103903",
"telephone_number": "301-458-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMBERLEY",
"first_name": "TESSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2022-02-06",
"certification_date": "2022-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "06033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.