Tsigereda Teketele

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1725146

Practice address

2213 Windy Dr
Garland, TX 75044-7553

Phone

(469) 544-5654

Fax

(866) 477-2772

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1972347094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 BELT LINE RD # 451011",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447106",
            "telephone_number": "469-544-5654",
            "fax_number": "866-477-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 WINDY DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447553",
            "telephone_number": "469-544-5654",
            "fax_number": "866-477-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKETELE",
        "first_name": "TSIGEREDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16711",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90659",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "1725146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Jawann Taylor, RN
• Jeffrey B Taylor, DO
• Patrevias Taylor
• Shane Rollin Taylor, D.O.
• Chrystal Armelle Teague, LICENSED ESTHETICIAN
• Eden Teklay
• Teleios Healthcare Inc
• Anna Liza Aranas Temple
• Julie L Templeton
• Tenison Women'S Health Center Inc

• Counselor in Garland, TX
• Providers in Garland, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.