Active NPI
Tyler Teneyck, LCSW
- Mental Health Counselor
- Albany, NY
National Provider Identifier
1689174484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 097841
- Practice address
- 418 Broadway Ste R
Albany, NY 12207-2922 - Phone
- (315) 436-5298
- NPI assigned
- Feb 19, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 097841 | NY | Primary |
Addresses
Primary practice location
418 Broadway Ste R
Albany, NY 12207-2922
Mailing address
6 Nixon PL
Lockport, NY 14094-5720
Phone (315) 436-5298
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 |
|---|---|---|---|
| 097841 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1689174484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 NIXON PL",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140945720",
"telephone_number": "315-436-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 BROADWAY STE R",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072922",
"telephone_number": "315-436-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENEYCK",
"first_name": "TYLER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-19",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "097841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.