Active NPI
Douglas A Tesnow, L.P.C.
- Professional Counselor
- Mt Prospect, IL
National Provider Identifier
1255610085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.006976
- Practice address
- 625 Slawin CT
Mt Prospect, IL 60056-2183 - Phone
- (847) 789-7155
- NPI assigned
- Aug 10, 2011
- Sex
- Male
- 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 | 178.006976 | IL | Primary |
Addresses
Primary practice location
625 Slawin CT
Mt Prospect, IL 60056-2183
Mailing address
438 S Vail Ave
Arlington Heights, IL 60005-1848
Phone (847) 373-1133
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 |
|---|---|---|---|
| 178.006976 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1255610085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 S VAIL AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600051848",
"telephone_number": "847-373-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 SLAWIN CT",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600562183",
"telephone_number": "847-789-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESNOW",
"first_name": "DOUGLAS",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.006976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.