TESSA ISOM (NPI# 1528601010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528601010 |
| Entity Type | Individual |
| Full Name | TESSA ISOM |
| Credential | CT, CDCA |
| Practice Address |
245 Second St Sw Carrollton OH 44615-1305 |
| Mailing Address |
625 Cleveland Ave Nw Canton OH 44702-1805 |
| Practice Telephone | 3304550374 |
| Practice Fax Number | 3304536716 |
| Mailing Telephone | 3304550374 |
| Mailing Fax Number | 3304536716 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C2002376TRNE | OH | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.171809 | OH | Behavioral Health & Social Service Providers |
| Street Address |
245 SECOND ST SW |
| City | CARROLLTON |
| State | OH |
| Zip Code | 44615-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745878 | Carroll Hills Industries, Inc. | Non-emergency Medical Transport (VAN) | 1182 Roswell Rd. Nw, Carrollton, OH 44615 | 2020-09-18 |
| 1982267704 | Amanda V Burdette | Case Manager/Care Coordinator | 620 Roswell Road Nw, Carrollton, OH 44615 | 2019-04-17 |
| 1740688118 | Cynthia Olivito | Psychologist | 252 Third St. Se, Carrollton, OH 44615 | 2014-12-16 |
| 1346459419 | Bruce Eldon Barker | Dentist | 256 N Lisbon St, Carrollton, OH 44615 | 2007-05-22 |
| 1477684470 | Carroll County Auditor | Public Health or Welfare | 301 Moody Ave Sw, Carrollton, OH 44615 | 2007-03-08 |
| 1437213964 | East Carroll Nursing Home Inc | Intermediate Care Facility, Mentally Retarded | 2193 Commerce Drive, Countryview Manor, Carrollton, OH 44615 | 2006-12-20 |
| 1912083122 | Carl Warren Winters | Dentist | 25 Third St Ne, Carrollton, OH 44615 | 2006-10-31 |
| 1811002637 | Douglas James Burik | Chiropractor | 1244 Canton Road Nw, Carrollton, OH 44615 | 2006-08-20 |
| 1588676068 | Berg & Birong Dds LLC | Dentist | 1040 Trump Rd, St A, Carrollton, OH 44615 | 2006-08-12 |
| 1619989100 | James P Birong | Dentist | 1040 Trump Road, St A, Carrollton, OH 44615 | 2006-08-12 |
| Find all providers in zip 44615 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152809 | Wellovation LLC | Counselor | 1220 W Trinity Mills Rd, Carrollton, TX 75006-1303 | 2020-10-16 |
| 1083234678 | Faith Johnson | Counselor | 139 Newnan Rd, Carrollton, GA 30117-3442 | 2020-04-23 |
| 1104454016 | Karmen Kay Scott | Counselor | 20396 Cr 240, Carrollton, MO 64633-8151 | 2020-03-28 |
| 1396375341 | Princy Sebastian | Counselor | 4408 Emerald Dr, Carrollton, TX 75010-4514 | 2020-01-17 |
| 1538713425 | Latoya Banton | Counselor | 85 Tyus Carrollton Rd, Carrollton, GA 30117-8254 | 2019-07-29 |
| 1053899757 | Ana Lyllian Guadalupe Menjivar-couch | Counselor | 840 Lake Connie Rd, Carrollton, GA 30116-9783 | 2018-08-03 |
| 1669992061 | Vanessa Fajardo | Counselor | 1925 E Belt Line Rd Ste 258, Carrollton, TX 75006-5801 | 2017-06-27 |
| 1710422936 | Sharon Gayle Counseling | Counselor | 4700 N Josey Ln, 4121, Carrollton, TX 75010-4693 | 2016-12-24 |
| 1255602322 | Leston Marshall Underwood | Counselor | 2016 Hearthstone Dr, Carrollton, TX 75010-4019 | 2012-01-22 |
| 1760772438 | Deborah Hudson Stewart | Counselor | 506 Tanner St, Carrollton, GA 30117-3304 | 2011-04-14 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 44615 |
Please comment or provide details below to improve the information on TESSA ISOM.
| 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.