MRS. KATHRYN HILLARY TEDESCHI (NPI# 1477048429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477048429 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN HILLARY TEDESCHI |
| Other Name | MISS KATHRYN HILLARY MARTIN |
| Credential | ATR-BC, LPC |
| Practice Address |
11250 Roger Bacon Dr Bldg 10 Reston VA 20190-5219 |
| Mailing Address |
2661 Horton Hill Rd Herndon VA 20171-2510 |
| Practice Telephone | 7039627206 |
| Mailing Telephone | 7037986291 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701007801 | VA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
PRC14648 | DC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BOARD OF COUNSELING | 0701007801 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5101a Backlick Rd, Annandale, VA 220036080 | 7037986291 |
| Street Address |
11250 ROGER BACON DR BLDG 10 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807468 | Alanna Joy Betts | Counselor | 11250 Roger Bacon Dr Bldg 10, Reston, VA 20190-5219 | 2020-09-28 |
| 1467071142 | Sage House Art Therapy, Pllc | Counselor | 11250 Roger Bacon Dr Bldg 10, Reston, VA 20190-5219 | 2020-04-13 |
| 1346878592 | Sage House Art Therapy, Pllc | Counselor | 11250 Roger Bacon Dr Bldg 10, Reston, VA 20190-5219 | 2020-03-31 |
| 1548896624 | Anna Vonwodtke | Social Worker | 11250 Roger Bacon Dr Bldg 10, Reston, VA 20190-5219 | 2020-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457906125 | Julieta Paulina Graves | Counselor | 11250 Roger Bacon Dr # 15-303, Reston, VA 20190-5219 | 2019-08-08 |
| 1194378836 | Candice T Mckinney | Counselor | 11250 Roger Bacon Drive, Atrium #5, Reston, VA 20190-2019 | 2019-07-22 |
| 1386178754 | Rachel Townes | Counselor | 1930 Isaac Newton Sq W Ste 150, Reston, VA 20190-5011 | 2017-04-12 |
| 1558816355 | Steve Zappalla | Counselor | 12097 Edgemere Cir, Reston, VA 20190-3260 | 2016-08-22 |
| 1821347204 | Latasha Monique Scott | Counselor | 11250 Roger Bacon Dr Ste 15, Reston, VA 20190 | 2012-08-31 |
| 1720398936 | Mary Linda Sara | Counselor | 11367 Sunset Hills Rd, Reston, VA 20190-5205 | 2010-10-21 |
| 1780877225 | Kathryn L Vieweg | Counselor | 1760 Reston Pkwy Ste 212, Reston, VA 20190-3358 | 2007-08-18 |
| 1982821104 | Maria C. Mileo-silva | Counselor | 12040 South Lakes Dr., Suite 204, Reston, VA 20191 | 2007-04-19 |
| 1033120951 | Ruth A Freud | Counselor | 11260 Roger Bacon Dr Ste 204, Reston, VA 20190-5252 | 2006-08-10 |
| 1104848746 | Amy L Anderson | Counselor | 1850 Cameron Glen Dr, Suite 600, Reston, VA 20190-3363 | 2006-07-24 |
| Find all providers in RESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.