MEDICARE: MR. MICHAEL N TESLER LPCC-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C0701178	OH
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	161160	OH
3	101YP2500X	Professional Counselor	E.0701178-SUPV	OH

General Provider Information

NPI Number	:	1992004261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL N TESLER LPCC-S

Provider Business Mailing Address
First Line	:	4800 N SCOTTSDALE RD STE 2500
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7630
Country	:	US
Telephone Number	:	216-468-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	25101 CHAGRIN BLVD STE 100&200
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5643
Country	:	US
Telephone Number	:	216-468-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2011
Last Update Date	:	11/11/2025

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