Individual provider Active NPI

Kerry Elizabeth Tenure, LMSW

  • Professional Counselor
  • Nesconset, NY
National Provider Identifier
1093229288
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
102450-1 Issued in NY
Practice address
29 Robinhood Court
Nesconset, NY 11767-2036
Phone
(631) 229-5331
Fax
(631) 229-5331
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 102450-1 NY Primary

Addresses

Primary practice location

29 Robinhood Court
Nesconset, NY 11767-2036

Mailing address

29 Robinhood CT.
Nesconset, NY 11767-2036
Phone (631) 229-5331

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

LicenseStateTypeSpecialty
102450-1NYMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1093229288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ROBINHOOD CT.",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672036",
            "telephone_number": "631-229-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ROBINHOOD COURT",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672036",
            "telephone_number": "631-229-5331",
            "fax_number": "631-229-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENURE",
        "first_name": "KERRY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "102450-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.