Tessie Leigh Eberhart, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP95020783 Issued in CA

Practice address

510 Plaza Dr Ste 170
Folsom, CA 95630-4790

Phone

(916) 378-7885

NPI assigned

Jul 2, 2020

Last updated

Oct 5, 2022By the provider in NPPES

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

Enrolled in TX, MD, CA, AZ, WA5 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 5

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Affect Therapeutics Inc

  dba Affect Therapeutics

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlottesville, VA
  • NPI 1104402064

  Psychiatric/Mental Health, TX

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychiatric/Mental Health, WA

  Medicare reassignment NPD
• Healthy Hearts & Minds LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edgewater, MD
  • NPI 1417506601
  Medicare reassignment NPD
• Tidemark Therapy PLLC

  dba Brittainy A. Wagner, LPC

  • Clinic/Center
  • Denison, TX
  • NPI 1275939001

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Tessie Eberhart, Pmhnp-BC, PLLC.

  dba Redbird Psychiatry & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Muenster, TX
  • NPI 1093647554
  NPD Authorized official
• Ehab Yacoub MD Inc.

  dba Brain Health USA

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713

  AZ

  Medicare reassignment
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment
• Nevada Internal Medicine Ctr-Burt MD LTD

  dba Nevada Internal Medicine Center

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1982734133
  NPD
• Glenn Medical Center, LLC

  dba Glenn Medical Center

  • Critical Access Hospital
  • Willows, CA
  • NPI 1619929759
  NPD (past)
• Sentience Psychotherapy LLC

  • Adult Mental Health Clinic/Center
  • Vancouver, WA
  • NPI 1427837624
  NPD (past)
• Smith Psychiatry LLC

  dba Smith Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1023870763
  NPD (past)

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1992322168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 COUNTY ROAD 424",
            "city": "MUENSTER",
            "state": "TX",
            "postal_code": "762524114",
            "telephone_number": "940-736-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PLAZA DR STE 170",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304790",
            "telephone_number": "916-378-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "TESSIE",
        "middle_name": "LEIGH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "239561",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144671",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95020783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B Dunlevy, MD
• Jason Dunn
• Christina Thi Duong, DDS
• Sudha N. Dusanapudi, DDS, MMSC
• Eagles Dialysis LLC (Folsom Dialysis)
• Lauren Ebner
• Sahba Ebrahimi, DMD
• Ashley Eder, MA
• Janet John Edet, PMHNP
• Gabriel Graeme Edmondson

• Psychiatric/Mental Health Nurse Practitioner in Folsom, CA
• Providers in Folsom, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.
• 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.