TESSIE CLEVELAND COMMUNITY SERVICES
NPI 1194850842
Clinic/Center - Adolescent and Children Mental Health in Los Angeles, CA
About Tessie Cleveland Community Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TESSIE CLEVELAND COMMUNITY SERVICES (NPI 1194850842) is a healthcare organization registered as an adolescent and children mental health in Los Angeles, California and active in the NPI registry since February 2007. The organization lists Carolyn Chadwick, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tessie Cleveland Community Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Tessie Cleveland Community Services, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tessie Cleveland Community Services Corporation's NPI number?
The NPI number for Tessie Cleveland Community Services Corporation is 1194850842. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is also known as Tessie Cleveland Community Services.
Where is Tessie Cleveland Community Services Corporation located?
Tessie Cleveland Community Services Corporation is located at 8019 S. Compton Avenue, Los Angeles, CA 90001. The listed phone number is (323) 586-7333.
What is Tessie Cleveland Community Services Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is Tessie Cleveland Community Services Corporation enrolled in Medicare?
Yes. Tessie Cleveland Community Services Corporation is registered in the Medicare PECOS enrollment system.
When is Tessie Cleveland Community Services Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tessie Cleveland Community Services Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Tessie Cleveland Community Services Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (8) and Psychiatry (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tessie Cleveland Community Services Corporation was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tessie Cleveland Community Services · NPI 1194850842
Adolescent and Children Mental Health organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1194850842 (Entity type: Organization)
- **Enumerated:** February 22, 2007
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Legal business name:** Tessie Cleveland Community Services Corporation
- **Organization subpart:** No
- **Authorized official:** Carolyn Chadwick, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 8019 S. COMPTON AVENUE, Los Angeles, CA 90001-3409
- **Phone:** (323) 586-7333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (8), Psychiatry (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2018
- **Other identifiers:** Medicaid 7641 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1194850842) · Data from the CMS NPPES public registry.