NPIMap

Organization Active NPI

Ernestine Tennefos

  • Adolescent and Children Mental Health Clinic/Center
  • Portales, NM
National Provider Identifier
1972257855
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ERNESTINE TENNEFOS
Practice address
930 W 17TH St
Portales, NM 88130-6635
Phone
(575) 791-5507
NPI assigned
Feb 9, 2022
Last updated
Feb 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Ernestine Tennefos, LPCCNPI 1215177589
Title
Mental Health Counselor
Phone
(575) 791-5507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

930 W 17TH St
Portales, NM 88130-6635

Mailing address

930 W 17TH St
Portales, NM 88130-6635
Phone (575) 791-5507

Other names 1

  • Ernestine Tennefos Other name

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1972257855",
    "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": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "TENNEFOS",
        "authorized_official_first_name": "ERNESTINE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "575-791-5507",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ernestine Tennefos",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ernestine Tennefos",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.