Individual provider Active NPI

Tenisia Adams

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1891417804
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5149 N Paulina St Apt 3N
Chicago, IL 60640-6492
Phone
(312) 914-0603
NPI assigned
Sep 15, 2022
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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 NU Primary

Addresses

Primary practice location

5149 N Paulina St Apt 3N
Chicago, IL 60640-6492

Mailing address

5149 N Paulina St Apt 3N
Chicago, IL 60640-6492
Phone (312) 914-0603

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.groundedwellnessllc.com/contact Grounded Wellness LLC

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

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1891417804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 N PAULINA ST APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406492",
            "telephone_number": "312-914-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 N PAULINA ST APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406492",
            "telephone_number": "312-914-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TENISIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.groundedwellnessllc.com/contact",
            "affiliation": "Y",
            "affiliationName": "Grounded Wellness LLC",
            "address_1": "1525 E 53rd St Ste 501",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606154530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.