Active NPI
Tenneh Maxine Hollins, LCDC
- Addiction (Substance Use Disorder) Counselor
- Fort Worth, TX
National Provider Identifier
1346722303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14309
- Practice address
- 921 Crawford St Apt 4209
Fort Worth, TX 76104-3483 - Phone
- (682) 346-2049
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14309 | TX | Primary |
Addresses
Primary practice location
921 Crawford St Apt 4209
Fort Worth, TX 76104-3483
Mailing address
921 Crawford St Apt 4209
Fort Worth, TX 76104-3483
Phone (682) 346-2049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14309 | Other | TX | LCDC |
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 |
|---|---|---|---|
| 14309 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1346722303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 CRAWFORD ST APT 4209",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043483",
"telephone_number": "682-346-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 CRAWFORD ST APT 4209",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043483",
"telephone_number": "682-346-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINS",
"first_name": "TENNEH",
"middle_name": "MAXINE",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "14309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCDC",
"identifier": "14309",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.