YOANNA TEJEDA (NPI# 1659765253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659765253 |
| Entity Type | Individual |
| Full Name | YOANNA TEJEDA |
| Practice Address |
1601 Washington Street South End Community Health Center Boston MA 02118-1951 |
| Mailing Address |
95 Berkeley St Boston MA 02116-6230 |
| Practice Telephone | 6174252000 |
| Practice Fax Number | 6174252002 |
| Mailing Telephone | 8572640965 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1307576 | 05 | |
| MA | 1303295 | 05 | |
| MA | BLUE CROSS BLUE SHIELD | M18463 | 01 |
| Street Address |
1601 WASHINGTON STREET SOUTH END COMMUNITY HEALTH CENTER |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558310052 | South End Community Health Center Inc | Clinic/Center | 1601 Washington Street, Boston, MA 02118 | 2006-05-10 |
| 1154849768 | Katherine Jane Melton | Counselor | 1601 Washington Street, Boston, MA 02118 | 2017-09-04 |
| 1043674484 | Nichole Daly | Dietitian, Registered | 1601 Washington Street, South End Community Health Center, Boston, MA 02118-1951 | 2016-04-12 |
| 1659634681 | Amelia Margaret Macdonald | Registered Nurse | 1601 Washington Street, Boston, MA 02118 | 2012-06-25 |
| 1467734962 | Richard C Villa | Social Worker | 1601 Washington Street, Boston, MA 02118-1951 | 2011-09-12 |
| 1235368085 | Lisandra Sierra | Registered Nurse | 1601 Washington Street, Boston, MA 02118-1951 | 2009-07-14 |
| 1437387198 | Sammantha Boaz | Nurse Practitioner | 1601 Washington Street, Boston, MA 02118 | 2009-07-01 |
| 1912135666 | Glen T Prospere | Counselor | 1601 Washington Street, Boston, MA 02118-1951 | 2009-07-01 |
| 1568514081 | Raymond Walden | Social Worker | 1601 Washington Street, Boston, MA 02118 | 2007-01-17 |
| 1669524922 | Judy Phillips | Nutritionist | 1601 Washington Street, Boston, MA 02118 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| 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 |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1508463688 | April Chante Rowell | Counselor | 25 Kingston St Ste 4r, Boston, MA 02111-2200 | 2020-10-02 |
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1578181871 | Victor Stewart | Counselor | 37 Copeland St Apt 3, Boston, MA 02119-2288 | 2020-07-13 |
| 1831712165 | Mona Hdeib | Counselor | 7 Avenue De Lafayette # 120153, Boston, MA 02111-1736 | 2020-05-21 |
| 1316587413 | Laurence Phillip Casey | Counselor | 63 Woolson St Apt 1, Boston, MA 02126-2072 | 2020-01-07 |
| 1487295036 | Alisa C. Ritchie | Counselor | 1 Westinghouse Plz Fl 2, Boston, MA 02136-2075 | 2019-10-04 |
| 1508412636 | Madison Lambert | Counselor | 39 Bowdoin St, Boston, MA 02114-4201 | 2019-08-14 |
| 1730748104 | Nassima Mouhoubi | Counselor | 105 Chauncy St Fl 5, Boston, MA 02111-1726 | 2019-06-10 |
| 1336622943 | James Allan Scholl | Counselor | 85 E Newton St # M912, Boston, MA 02118-2841 | 2018-09-10 |
| Find all providers in BOSTON | ||||
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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.