EMILY ROSE TEDD LMHC
NPI 1366139503
Counselor - Mental Health in Syracuse, NY

Active since April 19, 2023PECOS Enrolled
1045 JAMES ST STE 100, SYRACUSE, NY 13203(315) 425-1004 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2026, Aug 23, 2024 (2 updates tracked since 2024).

About Emily Rose Tedd Lmhc NPPES

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

EMILY ROSE TEDD LMHC (NPI 1366139503) is an individual mental health provider in Syracuse, New York, licensed in New York (015057) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366139503
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEMILY ROSE TEDDCredential: LMHC
Location Address1045 JAMES ST STE 100Syracuse, NY 13203-2758
Mailing Address1045 James St Ste 100Syracuse, NY 13203-2758 · (315) 425-1004
Sole ProprietorNo
Enumeration DateApril 19, 2023
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1366139503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 015057
1045 JAMES ST STE 100, Syracuse, NY 13203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Rose Tedd Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Emily Tedd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1045 JAMES ST
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 156 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.

Social Worker
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Counselor (Mental Health)
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Counselor (Mental Health)
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Social Worker
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Counselor
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Counselor (Mental Health)
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Nurse Practitioner (Primary Care)
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Counselor (Mental Health)
1045 JAMES ST STE 100
SYRACUSE, NY 13203

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 Emily Tedd's NPI number?

The NPI number for Emily Tedd is 1366139503. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Emily Tedd located?

Emily Tedd practices at 1045 James St Ste 100, Syracuse, NY 13203. The listed phone number is (315) 425-1004.

What is Emily Tedd's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Emily Tedd enrolled in Medicare?

Yes. Emily Tedd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Tedd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Tedd reassigns Medicare benefits to Liberty Resources Inc. (Syracuse, NY). 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 Emily Tedd'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 Emily Tedd was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.