Ernestine Tennefos

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ERNESTINE TENNEFOS

Practice address

930 W 17TH St
Portales, NM 88130-6635

Phone

(575) 791-5507

NPI assigned

Sep 22, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernestine Tennefos, MA; LPCCNPI 1215177589

Title

Owner/ Clinician

Phone

(575) 579-5507

Specialties & licenses 1

Addresses

Tax ID family

Ernestine Tennefos2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ernestine Tennefos

  • Adolescent and Children Mental Health Clinic/Center
  • Portales, NM
  • NPI 1972257855
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernestine Anne Tennefos, M.A., LPCC

  • Mental Health Counselor
  • Portales, NM
  • NPI 1215177589
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1871264580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W 17TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306635",
            "telephone_number": "575-791-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W 17TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306635",
            "telephone_number": "575-791-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTINE TENNEFOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "TENNEFOS",
        "authorized_official_first_name": "ERNESTINE",
        "authorized_official_title_or_position": "OWNER/ CLINICIAN",
        "authorized_official_telephone_number": "575-579-5507",
        "authorized_official_credential": "MA; LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Family Dentistry, LLC
• Eastern Medical Associates LLC
• Eastern New Mexico University (ENMU Sports Medicine)
• Eastern New Mexico University (ENMU Speech Hearing Outreach Rehabilitation Center)
• Justin R Ennis
• Ernestine Tennefos
• Rachel Christine Ervin
• Taylor Espinosa
• Teresa Claire Evan
• Seana Evelyn, M.A. CCC-SLP

• Professional Counselor in Portales, NM
• Providers in Portales, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.