Bertha Maria Tenorio

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

360 Whiskey Hill Rd
Watsonville, CA 95076-8521

Phone

(831) 724-9333

NPI assigned

Mar 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Encompass Community Services

  • Community/Behavioral Health Agency
  • Watsonville, CA
  • NPI 1497971436
  NPD (past)

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1346548682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WHISKEY HILL RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950768521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 WHISKEY HILL RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950768521",
            "telephone_number": "831-724-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENORIO",
        "first_name": "BERTHA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ MEDICAL GROUP PTAN#",
            "identifier": "ZZZ92069Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blanca Tavera, LCSW
• Fardad Tayebaty, DMD
• Tiana Taylor
• Tele-Rheumatology Medical Associates
• Jocelyn Tellez
• Jonathan Tepper, M.D., PH.D.
• Jacqueline Anne Thompson, RD, CDE
• Elizabeth Thorne, RN
• Tip Top Shape Wellness Fitness and Physical Therapy Foundation Inc
• Joshua Daniel Toback, M.A.

• Mental Health Counselor in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.