Individual provider Active NPI

Alexandra Catherine Tesnakis, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1841864386
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010909-01 Issued in NY
Practice address
2090 Adam Clayton Powell Jr Blvd FL 4
New York, NY 10027-4941
Phone
(212) 553-6708
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010909-01 NY Primary

Addresses

Primary practice location

2090 Adam Clayton Powell Jr Blvd FL 4
New York, NY 10027-4941

Mailing address

2090 Adam Clayton Powell Jr Blvd FL 4
New York, NY 10027-4941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109003232 NY Practitioner - Mental Health Counselor 6709237290 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010909-01NYMDMental Health Counselor
010909NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

Organizations & group practices 3

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1841864386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 ADAM CLAYTON POWELL JR BLVD FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 ADAM CLAYTON POWELL JR BLVD FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274941",
            "telephone_number": "212-553-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESNAKIS",
        "first_name": "ALEXANDRA",
        "middle_name": "CATHERINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010909-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.