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Active NPI 1477048429 Individual Practitioner Female Practitioner

Kathryn Hillary Tedeschi , ATR-BC, LPC

Counselor - Professional • Reston, VA

Professional Overview & Biography Verified Profile Summary

Kathryn Tedeschi, ATR-BC, LPC is a registered healthcare professional specializing in Counselor - Professional in Reston, VA. Practice services are available at 11250 ROGER BACON DR BLDG 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11250 Roger Bacon Dr Bldg 10

Reston, VA 201905219

Telephone 7039627206
Associated Practice Facility / Clinic
🏢 Sage House Art Therapy, Pllc Facility NPI 1346878592

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Reston, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
81 Specialists

Practicing in Reston, VA (6609 Statewide)

Telehealth Adoption Rate
4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-31
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701007801

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License DC PRC14648

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Board Of Counseling
0701007801 (VA)

Secondary Practice Locations

5101a Backlick Rd

Annandale, VA 220036080

Phone: 7037986291

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Mary Stewart

Counselor - Mental Health

NPI 1063084077
NPI 1407714074

Doctor of Psychology (Psy.D.)

Alexa Eisenberg

Art Therapist

NPI 1477386894
Jodi Glaser , LMSW

Social Worker - Clinical

NPI 1528846086

Licensed Master Social Worker

Caroline Trimmer , LPC, ATR

Counselor - Professional

NPI 1548007909

Licensed Professional Counselor, ATR

NPI 1548896624

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 31, 2020

Registered at 11250 ROGER BACON DR BLDG 10, RESTON, VA 201905219 (Tel: 7039627206)

👤
Provider Name / Credentials Updated March 31, 2020

Recorded as KATHRYN TEDESCHI, ATR-BC, LPC

NPI Profile Active June 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2018

Registered at 5101A BACKLICK RD, ANNANDALE, VA 220036080 (Tel: 7037986291)

📍
Updated Business Mailing Address June 22, 2018

Registered at 2661 HORTON HILL RD, HERNDON, VA 201712510 (Tel: 7037986291)

👤
Provider Name / Credentials Updated June 22, 2018

Recorded as KATHRYN TEDESCHI, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2018

Counselor (License #PRC14648 in DC)

🟢
Initial NPI Registration & Enumeration June 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477048429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2018
Last Update: March 31, 2020
Sole Proprietor: Yes

Mailing Address

2661 Horton Hill Rd

Herndon, VA 201712510

Phone: 7037986291

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.