Individual provider Active NPI

Mickey Glenn Tener, M.S., LCMFT

  • Addiction (Substance Use Disorder) Counselor
  • Ft Riley, KS
National Provider Identifier
1215239926
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
256 Issued in KS
Practice address
7427 Apeninnes Road
Ft Riley, KS 66442-7037
Phone
(785) 239-7311
NPI assigned
Dec 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 256 KS Primary

Addresses

Primary practice location

7427 Apeninnes Road
Ft Riley, KS 66442-7037

Mailing address

7424 Apennines Dr
Ft Riley, KS 66442-7151
Phone (785) 239-7311

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
256KSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1215239926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 APENNINES DR",
            "city": "FT RILEY",
            "state": "KS",
            "postal_code": "664427151",
            "telephone_number": "785-239-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7427 APENINNES ROAD",
            "city": "FT RILEY",
            "state": "KS",
            "postal_code": "664427037",
            "telephone_number": "785-239-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENER",
        "first_name": "MICKEY",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "M.S., LCMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Riley, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.