Active NPI
Amber Joy Tenorio
- Mental Health Counselor
- Grants, NM
National Provider Identifier
1851678734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0121591
- Practice address
- 700 E Roosevelt Ave Ste 18
Grants, NM 87020-2178 - Phone
- (505) 876-1890
- NPI assigned
- Nov 7, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 0121591 | NM | Primary |
Addresses
Primary practice location
700 E Roosevelt Ave Ste 18
Grants, NM 87020-2178
Mailing address
PO Box 28220
Santa Fe, NM 87592-8220
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 |
|---|---|---|---|
| 0121591 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1851678734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28220",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875928220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E ROOSEVELT AVE STE 18",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202178",
"telephone_number": "505-876-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENORIO",
"first_name": "AMBER",
"middle_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-07",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0121591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.