Active NPI
Tenaya Wade
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1801300603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 76145
- Practice address
- 8035 E R L Thornton Fwy Ste 328
Dallas, TX 75228-7018 - Phone
- (972) 213-2549
- NPI assigned
- Dec 1, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 76145 | TX | Primary |
Addresses
Primary practice location
8035 E R L Thornton Fwy Ste 328
Dallas, TX 75228-7018
Mailing address
3930 Accent Dr Apt 2137
Dallas, TX 75287-7723
Phone (314) 623-9202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76145 | Other | TX | LICENSED PROFESSIONAL COUNSELOR |
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 |
|---|---|---|---|
| 76145 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- tenayawade@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
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- NPI 1598237331
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1801300603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 ACCENT DR APT 2137",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877723",
"telephone_number": "314-623-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8035 E R L THORNTON FWY STE 328",
"city": "DALLAS",
"state": "TX",
"postal_code": "752287018",
"telephone_number": "972-213-2549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "TENAYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "76145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "76145",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.