Active NPI
Tenesha Renae Jeffery, LCPC
- Professional Counselor
- Laurel, MD
National Provider Identifier
1003556002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC14814
- Practice address
- 3446 Andrew CT Apt 301
Laurel, MD 20724-2358 - Phone
- (202) 834-2187
- NPI assigned
- Mar 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP12497 | MD | |
| Professional Counselor | 101YP2500X | LC14814 | MD | Primary |
Addresses
Primary practice location
3446 Andrew CT Apt 301
Laurel, MD 20724-2358
Mailing address
3446 Andrew CT Apt T2
Laurel, MD 20724-2358
Phone (202) 834-2187
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP12497 | MD | MD | Counselor |
| LC14814 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crown Adjustments, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Oakland, MD
- NPI 1982427530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1003556002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3446 ANDREW CT APT T2",
"city": "LAUREL",
"state": "MD",
"postal_code": "207242358",
"telephone_number": "202-834-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3446 ANDREW CT APT 301",
"city": "LAUREL",
"state": "MD",
"postal_code": "207242358",
"telephone_number": "202-834-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERY",
"first_name": "TENESHA",
"middle_name": "RENAE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP12497",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC14814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.