RUTH TEDLA
NPI 1255701488
Counselor - Professional in Fairfax, VA

Active since September 30, 2015PECOS EnrolledAccepts Medicare Assignment
8221 WILLOW OAKS CORPORATE DR, LOWER LEVEL, FAIRFAX, VA 22031(703) 383-8402 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 14, 2023, Sep 30, 2015 (2 updates tracked since 2015).

About Ruth Tedla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUTH TEDLA (NPI 1255701488) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0701004430) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1255701488
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRUTH TEDLA
Location Address8221 WILLOW OAKS CORPORATE DR, LOWER LEVELFairfax, VA 22031-4512
Mailing Address8221 Willow Oaks Corporate Dr, Lower LevelFairfax, VA 22031-4512 · (703) 383-8402
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 30, 2015
Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1255701488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701004430
8221 WILLOW OAKS CORPORATE DR, Fairfax, VA 22031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ruth Tedla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749630895
PECOS Enrollment IDI20240102001690
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ruth Tedla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
12011 GOVERNMENT CENTER PARKWAY, SUITE 836
Fairfax, VA 22035
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Director Of Finance-County Of Fairfax Va
  • 383 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Clinic/Center (Federally Qualified Health Center (FQHC))
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Nurse Practitioner (Psychiatric/Mental Health)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Pharmacy (Long Term Care Pharmacy)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031

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 Ruth Tedla's NPI number?

The NPI number for Ruth Tedla is 1255701488. It was assigned to this individual provider in the NPPES registry on September 30, 2015.

Where is Ruth Tedla located?

Ruth Tedla practices at 8221 Willow Oaks Corporate Dr Lower Level, Fairfax, VA 22031. The listed phone number is (703) 383-8402.

What is Ruth Tedla's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ruth Tedla enrolled in Medicare?

Yes. Ruth Tedla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ruth Tedla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruth Tedla reassigns Medicare benefits to Fairfax County, Virginia (Fairfax, VA). The 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 Ruth Tedla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ruth Tedla was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.