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Hilary Lyn Tesluck

Peer Specialist β€’ Port Huron, MI

Active NPI 1053840322 Individual Practitioner Female Practitioner
Practice location in NPPES

3111 Electric Ave
Port Huron, MI 48060

Call 8109858900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3111 Electric Ave

Port Huron, MI 48060

Telephone 8109858900
Organization at the Same NPPES Address or Phone
Genoa Healthcare Llc Facility NPI 1497791313

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bingham Farms, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Port Huron and Michigan

68 active clinicians are listed under Peer Specialist with a practice address in Port Huron, MI (1,694 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Port Huron

0% of these 68 clinicians have the CMS telehealth indicator.

0% of these 68 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

32100 Telegraph Rd, Suite 185

Bingham Farms, MI 480252452

Phone: 2487124266

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Kristen Azzinaro

Social Worker - Clinical

NPI 1013671056
Callie Gunn

Social Worker - Clinical

NPI 1003483215
Deborah Kokoszka , LMSW

Social Worker - Clinical

NPI 1023320413

Licensed Master Social Worker

Dr. Brandon Moore , MD

Psychiatry & Neurology - Psychiatry

NPI 1083902977

Doctor of Medicine (M.D.)

Dr. Mohammad Saeed , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1104939719

Doctor of Medicine (M.D.)

Carol Wiediger , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033285242

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 25, 2019

Registered at 3111 ELECTRIC AVE, PORT HURON, MI 48060 (Tel: 8109858900)

πŸ“
Updated Business Mailing Address April 25, 2019

Registered at 3111 ELECTRIC AVE, PORT HURON, MI 480608127 (Tel: 8109858900)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2019

Peer Specialist

βœ…
NPI Profile Active June 08, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 08, 2017

Registered at 32100 TELEGRAPH RD, SUITE 185, BINGHAM FARMS, MI 480252452 (Tel: (248) 712-4266)

πŸ“
Business Mailing Address (Initial Record) June 08, 2017

Registered at 32100 TELEGRAPH RD STE 185, BINGHAM FARMS, MI 480252453 (Tel: 2487124266)

πŸ‘€
Provider Name / Credentials (Initial Record) June 08, 2017

Recorded as HILARY TESLUCK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2017

Technician, Other

🟒
Initial NPI Registration & Enumeration June 08, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053840322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

3111 Electric Ave

Port Huron, MI 480608127

Phone: 8109858900

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.