Active NPI
Maelouise Tennant, PH.D., LMFT
- Marriage & Family Therapist
- Jupiter, FL
National Provider Identifier
1659753044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT 2672
- Practice address
- 210 Jupiter Lakes Blvd., BLDG. 4000, Ste. 201
Jupiter, FL 33458 - Phone
- (844) 796-4782
- NPI assigned
- Jun 23, 2015
- Last updated
- Sep 18, 2024
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT 2672 | FL | Primary |
Addresses
Primary practice location
210 Jupiter Lakes Blvd., BLDG. 4000, Ste. 201
Jupiter, FL 33458
Mailing address
640 Clematis Street
Ste. 432
West Palm Beach, FL 33401
Phone (844) 796-4782
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT 2672 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maelouise Tennant, PH.D. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
210 Jupiter Lakes Blvd
Bldg 4000
Jupiter, FL 33458
Phone (561) 312-9992
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Jupiter, FL
- NPI 1598162760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1659753044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 CLEMATIS STREET",
"address_2": "STE. 432",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33401",
"telephone_number": "844-796-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 JUPITER LAKES BLVD., BLDG. 4000, STE. 201",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "844-796-4782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNANT",
"first_name": "MAELOUISE",
"name_prefix": "Dr.",
"credential": "PH.D., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 2672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- Tenet Florida Physician Services II, LLC
- Tenet Florida Physician Services II, LLC
- Tenet Florida Physician Services, LLC
- Tenet Florida Physician Services, LLC
- Tenet Florida Physician Services, LLC
- Nathan Beecham Tennyson, MD
- Loretta M Teri, OTRL
- Sari Sack Terrusa, LMHC
- Prentiss Powers Terry, SLP-CCC
- TGPN M1 LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.