Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tellea Renee Tinkham, LPCC

Individual provider Professional Counselor · NPI 1417454539

Tellea Renee Tinkham, LPCC is a Mental Health Counselor in Moraine, Ohio. Qualified in 2014, 12 years ago. Practices with South Community Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 293-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.1800929 (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence C1300416 (OH)

Record details

NPI number1417454539
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedApril 6, 2018
Last updated in NPPESApril 17, 2020
Certification dateApril 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice South Community Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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