Individual provider Active NPI

Tenesa Rivera Jeffress, MD

  • Psychiatry Physician
  • Media, PA
National Provider Identifier
1124274048
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD442958 Issued in PA
Practice address
100 W. 6TH Street
303
Media, PA 19063
Phone
(484) 393-5626
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD442958 PA
Psychiatry Physician 2084P0800X MD442958 PA Primary

Addresses

Primary practice location

100 W. 6TH Street
303
Media, PA 19063

Mailing address

100 W Sixth St Ste 303
Media, PA 19063-2428
Phone (484) 393-5626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111028000137 PA Practitioner - Psychiatry 5799958294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holcomb Associates IncGroup PAC ID 8729992458, 18 clinicians

Practice addresses (Care Compare)

920 E Baltimore Pike
Suite 200
Kennett Square, PA 19348-1800
Phone (610) 388-9225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Holcomb Associates, Inc. Current Accepting new patients
Holcomb Associates, Inc CurrentSince Feb 19, 2018 Accepting new patients
Holcomb Associates, Inc. CurrentSince Feb 19, 2018 Accepting new patients

Locations

467 Creamery Way
Exton, PA 19341
Phone 61036314882136

920 E Baltimore Pike
Kennett Square, PA 19348
Phone (610) 388-7400

920 E Baltimore Pike
#200
Kennett Square, PA 19348
Phone (610) 388-7400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1124274048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SIXTH ST STE 303",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632428",
            "telephone_number": "484-393-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W. 6TH STREET",
            "address_2": "303",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "484-393-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA JEFFRESS",
        "first_name": "TENESA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD442958",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD442958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.