CHELSEA TADESSE – Mental Health Counselor, NPI 1164031381

CHELSEA TADESSE is a healthcare provider. based in Gaithersburg, Maryland. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LC13373 (MD). The NPI Number for CHELSEA TADESSE is 1164031381

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CHELSEA TADESSE
NPI
1164031381
Phone
(240) 499-4703
Address
8118 LANGPORT TER
Enumeration Date
23 July 2020
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2407506467
Graduation Year
2020 (6 years ago)
PAC ID
8729422696
Group Practice PAC ID
5395194302
Professional Enrollment ID
I20240219002801
Address ID
MD217014865FR10XXXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,236 MENTAL HEALTH COUNSELOR in MD

Provider Addresses for CHELSEA TADESSE

  • 8118 LANGPORT TER

    GAITHERSBURG, MD 208771138

    Phone: (240) 499-4703

    Type: Mailing

  • 9707 KEY WEST AVE STE 100

    ROCKVILLE, MD 208503992

    Phone: (240) 750-6467

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240219002801IMental Health CounselorMDTBD
I20250415000059IMental Health CounselorDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20877)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395194302View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Clinical Social WorkerMD
Clinical PsychologistMD
Clinical PsychologistMD
Mental Health CounselorMD
Clinical Social WorkerMD
Mental Health CounselorMD
Mental Health CounselorMD
Clinical PsychologistVA
Clinical PsychologistMD

Reviews

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Frequently asked questions

How do I look up CHELSEA TADESSE by NPI?
Use NPI 1164031381 when you need to reference CHELSEA TADESSE in forms, claims, or directories.
Is CHELSEA TADESSE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does CHELSEA TADESSE treat or focus on?
Patients typically see CHELSEA TADESSE under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is CHELSEA TADESSE's primary listing?
We display Gaithersburg, Maryland because that is what the record indicates for CHELSEA TADESSE.
Is CHELSEA TADESSE a real provider?
This page reflects official NPPES data for NPI 1164031381. Always confirm identity and privileges with the practice and licensing boards.

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