Renee Dawn Tenderella

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

908 NE 4TH St Ste 101
Bend, OR 97701-4646

Phone

(541) 617-7365

Fax

(541) 312-6343

NPI assigned

Sep 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Deschutes County Oregon

  • State or Local Public Health Clinic/Center
  • Bend, OR
  • NPI 1023056017
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1376214841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NE 4TH ST STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014646",
            "telephone_number": "541-617-7365",
            "fax_number": "541-312-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 NE 4TH ST STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014646",
            "telephone_number": "541-617-7365",
            "fax_number": "541-312-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDERELLA",
        "first_name": "RENEE",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telecare Mental Health Services of Oregon, Inc.
• Telecare Mental Health Services of Oregon, Inc.
• Telecare Mental Heatlh Service of Oregon, Inc
• John Teller, M.D.
• Temenos Bend LLC
• Tobias J Tenderich
• Emilie Tengblad-Kreft
• Terrain Natural Medicine LLC
• Terry L. Steckman, O.D.,P.C.
• Teru House Healing LLC

• Addiction (Substance Use Disorder) Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.