Active NPI
Tenera Styles, NCC, LPC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1003380312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009408
- Practice address
- 5000 Woodland Ave
Philadelphia, PA 19143-5137 - Phone
- (215) 726-9807
- Fax
- (215) 726-0424
- NPI assigned
- Jan 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC009408 | PA | Primary |
Addresses
Primary practice location
5000 Woodland Ave
Philadelphia, PA 19143-5137
Mailing address
1401 S 31St St FL 2
Philadelphia, PA 19146-3506
Phone (215) 925-2400
Other names 1
- Tenera Everette
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009408 | PA | MD | Professional Counselor |
Networks
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- OH PPO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547942400000",
"number": "1003380312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S 31ST ST FL 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191463506",
"telephone_number": "215-925-2400",
"fax_number": "215-925-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191435137",
"telephone_number": "215-726-9807",
"fax_number": "215-726-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYLES",
"first_name": "TENERA",
"credential": "NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-20",
"last_updated": "2019-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TENERA",
"last_name": "EVERETTE",
"credential": "NCC, LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.