Sheridan Jenice Tennant, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00530500 Issued in NJ

Practice address

786 Mountain Blvd Ste 104
Watchung, NJ 07069-6268

Phone

(908) 322-9623

NPI assigned

Sep 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Pastors Lounge LLC

  • Professional Counselor
  • Edison, NJ
  • NPI 1093535395
  NPD

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506124800000",
    "number": "1295244150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD STE 104",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD STE 104",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696268",
            "telephone_number": "908-322-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "SHERIDAN",
        "middle_name": "JENICE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-23",
        "last_updated": "2017-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00530500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Anesthesia Associates LLC
• Surgicare of Central Jersey, LLC
• Surgicare of Central Jersey, LLC
• Kevin Tabije, DO
• Madison Teal, LSW
• The Place Called Serenity LLC
• The Vip Room
• Trinity Eyecare LLC
• Michael Matthew Trzcienski
• Abyaz Uppal, OD

• Professional Counselor in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.