Individual provider Active NPI

Kiwanya Tende, RSPS, LCDCI

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
National Provider Identifier
1376242453
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
61725 Issued in TX
Practice address
2103 N Main St
Houston, TX 77009-8023
Phone
(322) 909-3568
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 61725 TX Primary

Addresses

Primary practice location

2103 N Main St
Houston, TX 77009-8023

Mailing address

2103 N Main St
Houston, TX 77009-8023
Phone (832) 290-9356

Other identifiers 1

IdentifierTypeStateIssuer
46-3260734OtherTXRECOVERY SUPPORT SERVICES

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

LicenseStateTypeSpecialty
61725TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jerne Ministries CurrentSince Mar 5, 2023 Accepting new patients

Locations

2103 N Main St
Houston, TX 77009
Phone (322) 909-3568

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1376242453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 N MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770098023",
            "telephone_number": "832-290-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 N MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770098023",
            "telephone_number": "322-909-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDE",
        "first_name": "KIWANYA",
        "credential": "RSPS, LCDCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "61725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RECOVERY SUPPORT SERVICES",
            "identifier": "46-3260734",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.